Organization
BON SECOURS DEPAUL MEDICAL CENTER
Active
Parent organization
BON SECOURS DEPAUL MEDICAL CENTER
Other names
Bon Secours Neuroscience Center for Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER
Authorized official
MICHAEL K KERNER (CEO)
75767359259
Entity
Organization
Contact information
Practice address
4445 CORPORATION LN, SUITE 120, VIRGINIA BEACH, VA 23462-3262
(757) 399-0759
Mailing address
4445 CORPORATION LN, SUITE 120, VIRGINIA BEACH, VA 23462-3262
(757) 399-0759
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
04/02/2012
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