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Organization
BON SECOURS DEPAUL MEDICAL CENTER
Active
Organization
BON SECOURS DEPAUL MEDICAL CENTER
Active
Other names
BON SECOURS FASTCARE
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A SMITH (CREDENTIALING SPECIALIST)
(757) 215-2784
Entity
Organization
Contact information
Practice address
309 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-5311
(757) 215-2777
Mailing address
7007 HARBOUR VIEW BLVD, SUITE 108, SUFFOLK, VA 23435-3657
(757) 215-2784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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