Organization
RALPH H. JOHNSON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LAVERNE SANBORN MSN (CLINICAL SPECIALIST)
(843) 789-7311
Entity
Organization
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7311
(803) 789-6290
Mailing address
2040 ASHLEY RIVER RD, CHARLESTON, SC 29407-4752
(843) 402-0126
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
E38112
CT
Other
Enumeration date
10/19/2006
Last updated
02/23/2009
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