Bon Secours-Virginia Healthsource

NPI #1578708889 in Powhatan, Virginia

Provider Information

NPI Number: 1578708889
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: Dec 16, 2008
Last Updated: Jul 27, 2018

Practice Location

Address: 3452 ANDERSON HWY
Address 2: SUITE D
City: Powhatan
State: Virginia
ZIP Code: 23139
Phone: (804) 280-6050

Authorized Official

Name: GEORGE O BUTLER, MBA
Title: DIRECTOR, CORPORATE RESPONSIBILITY
Phone: (804) 281-0271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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