Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Other names
Bon Secours MedCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ODELL BUTLER (DIRECTOR OF CORP RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
7001 FOREST AVE, SUITE 103, RICHMOND, VA 23230
(804) 287-3550
(804) 281-7840
Mailing address
7001 FOREST AVE, SUITE 103, RICHMOND, VA 23230-1726
(804) 287-3550
(804) 281-7840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101056520
VA
208D00000X
General Practice Physician
Primary
0101056520
VA
Other
Enumeration date
08/25/2008
Last updated
07/27/2018
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