Bon Secours Depaul Medical Center LLC

NPI #1619001906 in Norfolk, Virginia

Provider Information

NPI Number: 1619001906
Entity Type: Organization
Organization Name: Bon Secours Depaul Medical Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BON SECOURS DEPAUL MEDICAL CENTER LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 16, 2007
Last Updated: Sep 22, 2020

Practice Location

Address: 155 KINGSLEY LN STE 400
City: Norfolk
State: Virginia
ZIP Code: 23505-4629
Phone: (757) 278-2240

Authorized Official

Name: WILBUR GAY
Title: CFO
Phone: (864) 561-7672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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