Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Other names
CARE Diabetes and Endocrinology
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Authorized official
MR. GEORGE O. BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
3660 BOULEVARD, SUITE G, COLONIAL HEIGHTS, VA 23834
(804) 526-5566
(804) 526-5568
Mailing address
3660 BOULEVARD, SUITE G, COLONIAL HEIGHTS, VA 23834-1345
(804) 526-5566
(804) 526-5568
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101236869
VA
Other
Enumeration date
02/01/2008
Last updated
07/27/2018
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