Organization
BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC.
Active
Other names
THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
8220 MEADOWBRIDGE RD STE 203, MECHANICSVILLE, VA 23116-2339
(804) 764-7885
(804) 559-6185
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
02/03/2020
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