Organization
BON SECOURS DEPAUL MEDICAL CENTER INC
Active
Other names
Bon Secours Greenbrier Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
908 EDEN WAY N STE 100, CHESAPEAKE, VA 23320-3336
(757) 738-1350
(757) 413-5450
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
05/08/2014
Last updated
05/16/2019
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