Bon Secours-Virginia Healthsource
NPI #1972783918 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1972783918
- Entity Type
- Organization
- Organization Name
- Bon Secours-Virginia Healthsource
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BON SECOURS-VIRGINIA HEALTHSOURCE
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Jul 27, 2018
Practice Location
- Address
- 5207 HICKORY PARK DR
- Address 2
- SUITE A
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23059
- Phone
- (804) 621-2980
Authorized Official
- Name
- GEORGE O. BUTLER, MBA
- Title
- DIRECTOR, CORPORATE RESPONSIBILITY
- Phone
- (804) 281-0271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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