Bon Secours-Virginia Healthsource
NPI #1548293194 in Blackstone, Virginia
Provider Information
- NPI Number
- 1548293194
- Entity Type
- Organization
- Organization Name
- Bon Secours-Virginia Healthsource
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BON SECOURS-VIRGINIA HEALTHSOURCE
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Jul 27, 2018
Practice Location
- Address
- 213 N MAIN ST
- City
- Blackstone
- State
- Virginia
- ZIP Code
- 23824
- Phone
- (434) 292-7261
Authorized Official
- Name
- GEORGE O BUTLER
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (804) 281-0271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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