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Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Other names
Blackstone Family Practice Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Authorized official
GEORGE O BUTLER (EXECUTIVE VICE PRESIDENT)
(804) 281-0271
Entity
Organization
Contact information
Practice address
213 N MAIN ST, BLACKSTONE, VA 23824
(434) 292-7261
(434) 298-0908
Mailing address
213 N MAIN ST, BLACKSTONE, VA 23824-1425
(434) 292-7261
(434) 298-0908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
07/27/2018
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