Bon Secours Neurology Clinic At Memorial Regional | |
8266 Atlee Rd Ste 330 Mechanicsville VA 23116-1812 | |
(804) 325-8720 | |
(804) 764-7351 |
Full Name | Bon Secours Neurology Clinic At Memorial Regional |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 8266 Atlee Rd Ste 330, Mechanicsville, Virginia |
Authorized Official Name and Position | Stephan Quiriconi (CFO) |
Authorized Official Contact | 8042818301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bon Secours Neurology Clinic At Memorial Regional 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Neurology Clinic At Memorial Regional 8266 Atlee Rd Ste 330 Mechanicsville VA 23116-1812 Ph: (804) 325-8720 |
NPI Number | 1306193347 |
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Provider Enumeration Date | 08/09/2012 |
Last Update Date | 07/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306193347 | NPI | - | NPPES |
C06115 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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