Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Other names
Cardiology Associates of Central Virginia
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Authorized official
GEORGE O BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
89 SHERWOOD DR, COLONIAL HEIGHTS, VA 23834
(804) 526-3010
(804) 526-2293
Mailing address
89 SHERWOOD DR, COLONIAL HEIGHTS, VA 23834-1447
(804) 526-3010
(804) 526-2293
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101047753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659334373
—
VA
Enumeration date
11/02/2007
Last updated
07/27/2018
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