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Organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Active
Organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Active
Other names
Bon Secours Greenbrier Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
908 EDEN WAY N STE 100, CHESAPEAKE, VA 23320-3336
(757) 738-1350
(757) 413-5450
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
05/08/2014
Last updated
05/16/2019
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