| Bon Secours Bermuda Crossroads Primary Care | |
|
12340 Bermuda Crossroad Ln Chester VA 23831-2352 | |
| (804) 281-0275 | |
| (804) 521-9344 |
| Full Name | Bon Secours Bermuda Crossroads Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 12340 Bermuda Crossroad Ln, Chester, Virginia |
| Authorized Official Name and Position | George O Butler (DIRECTOR CORPORATE RESPONSIBILTY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Bermuda Crossroads Primary Care 12340 Bermuda Crossroad Ln Chester VA 23831-2352 Ph: (804) 281-0275 | Bon Secours Bermuda Crossroads Primary Care 12340 Bermuda Crossroad Ln Chester VA 23831-2352 Ph: (804) 281-0275 |
| NPI Number | 1376945626 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376945626 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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