Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Active
Other names
Cardiology Associates of Central Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE O BUTLER (DIRECTOR CORPORATE RESPONSIBILTY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
5949 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 639-3030
(804) 639-8110
Mailing address
5949 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 639-3030
(804) 639-8110
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
11/15/2011
Last updated
12/19/2011
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