Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Active
Other names
Blackstone Family Practice Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
213 N MAIN ST, BLACKSTONE, VA 23824-1425
(434) 292-7261
(434) 292-7965
Mailing address
213 N MAIN ST, BLACKSTONE, VA 23824-1425
(434) 292-7261
(434) 292-7965
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
04/19/2016
Last updated
04/19/2016
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