Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Other names
Glen Allen Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Authorized official
GEORGE O. BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
5207 HICKORY PARK DR, SUITE A, GLEN ALLEN, VA 23059
(804) 621-2980
(804) 762-7102
Mailing address
5207 HICKORY PARK DR, SUITE A, GLEN ALLEN, VA 23059-2624
(804) 621-2980
(804) 762-7102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
07/27/2018
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