Bon Secours-Virginia Healthsource
NPI #1548307606 in Midlothian, Virginia
Provider Information
- NPI Number
- 1548307606
- Entity Type
- Organization
- Organization Name
- Bon Secours-Virginia Healthsource
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BON SECOURS-VIRGINIA HEALTHSOURCE
- Primary Specialty
- Surgery
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 27, 2018
Practice Location
- Address
- 13700 ST FRANCIS BLVD
- Address 2
- STE 301
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23114
- Phone
- (804) 423-8467
Authorized Official
- Name
- MR. GEORGE O. BUTLER, MBA
- Title
- DIRECTOR, CORPORATE RESPONSIBILITY
- Phone
- (804) 281-0271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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| Misti H Wilson, M.D. | |
| Connie Lynn Speicher, LSA |
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