Bon Secours Medical Group Hampton Roads Specialty Care LLC

NPI #1114542453 in Emporia, Virginia

Provider Information

NPI Number: 1114542453
Entity Type: Organization
Organization Name: Bon Secours Medical Group Hampton Roads Specialty Care LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 12, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 6 DOCTORS DR
City: Emporia
State: Virginia
ZIP Code: 23847-1240
Phone: (757) 562-7301

Authorized Official

Name: WILBUR GAY
Title: CFO
Phone: (864) 255-1904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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