Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
THE BON SECOURS PROGRAM FOR DIABETES HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT CUMMINGS (COO)
(804) 690-3836
Entity
Organization
Contact information
Practice address
8266 ATLEE RD, MECHANICSVILLE, VA 23116-1804
(804) 764-7885
(804) 559-6185
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
09/03/2014
Last updated
11/05/2019
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