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Organization

BON SECOURS DEPAUL MEDICAL CENTER

Active
Parent organization
BON SECOURS DEPAUL MEDICAL CENTER
Other names
Bon Secours Providence Medical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER
Authorized official
GREG A SIMIA (CFO)
(757) 673-5928
Entity
Organization

Contact information

Practice address
5301 PROVIDENCE RD, SUITE 90, VIRGINIA BEACH, VA 23464-4128
(757) 495-6896
(757) 474-2223
Mailing address
5301 PROVIDENCE RD, SUITE 90, VIRGINIA BEACH, VA 23464-4128
(757) 495-6896
(757) 474-2223

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/12/2008
Last updated
11/12/2008
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