Organization
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Other names
Tappahannock Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
1362 TAPPAHANNOCK BLVD, TAPPAHANNOCK, VA 22560-9309
(804) 443-5378
(804) 443-9667
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
06/11/2019
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