# BON SECOURS-VIRGINIA HEALTHSOURCE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BON SECOURS-VIRGINIA HEALTHSOURCE
- **Other names:** CARE Diabetes and Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356529341
- **Legal business name:** BON SECOURS-VIRGINIA HEALTHSOURCE
- **Authorized official:** MR. GEORGE O. BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
- **Authorized official phone:** (804) 281-0271

## Contact information

- **Practice address:** 3660 BOULEVARD, SUITE G, COLONIAL HEIGHTS, VA 23834
- **Practice address phone:** (804) 526-5566
- **Practice address fax:** (804) 526-5568
- **Mailing address:** 3660 BOULEVARD, SUITE G, COLONIAL HEIGHTS, VA 23834-1345
- **Mailing address phone:** (804) 526-5566
- **Mailing address fax:** (804) 526-5568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101236869 | VA | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 07/27/2018