# BON SECOURS-VIRGINIA HEALTHSOURCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richmond Radiation Oncology Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629185293
- **Authorized official:** GEORGE O. BUTLER MBA (DIRECTOR, PHYSICIAN CREDENTIALING)
- **Authorized official phone:** (804) 281-0271

## Contact information

- **Practice address:** 11601 IRON BRIDGE RD, SUITE 117, CHESTER, VA 23831
- **Practice address phone:** (804) 717-5300
- **Practice address fax:** (804) 748-7269
- **Mailing address:** 11601 IRON BRIDGE RD, SUITE 117, CHESTER, VA 23831-1466
- **Mailing address phone:** (804) 717-5300
- **Mailing address fax:** (804) 748-7269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 07/27/2018