Organization
BON SECOURS DEPAUL MEDICAL CENTER LLC
Active
Parent organization
BON SECOURS DEPAUL MEDICAL CENTER LLC
Other names
Bon Secours DePaul Medical Center CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER LLC
Authorized official
WILBUR GAY (CFO)
(864) 561-7672
Entity
Organization
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5155
(757) 889-4127
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
09/21/2020
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