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Organization
BON SECOURS DEPAUL MEDICAL CENTER LLC
Active
Organization
BON SECOURS DEPAUL MEDICAL CENTER LLC
Active
Parent organization
BON SECOURS DEPAUL MEDICAL CENTER LLC
Other names
DePaul Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER LLC
Authorized official
WILBUR GAY (CFO)
(864) 561-7672
Entity
Organization
Contact information
Practice address
155 KINGSLEY LN STE 400, NORFOLK, VA 23505-4629
(757) 278-2240
(757) 489-6469
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/16/2007
Last updated
09/22/2020
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