Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
Active
Other names
Bon Secours Richmond Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 255-1904
Entity
Organization
Contact information
Practice address
8243 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 730-1481
(804) 730-8464
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 433-4705
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
09/15/2011
Last updated
12/09/2020
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