Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Active
Other names
Bon Secours Freedom Healthcare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE O BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
32 W WASHINGTON ST, SUITE B, PETERSBURG, VA 23803-4224
(804) 431-3400
(804) 733-3858
Mailing address
32 W WASHINGTON ST, SUITE B, PETERSBURG, VA 23803-4224
(804) 431-3400
(804) 733-3858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
10/01/2014
Last updated
10/01/2014
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