Bon Secours Fastcare | |
200 Charter Colony Pkwy Midlothian VA 23114-4584 | |
(804) 281-0275 | |
(804) 521-9344 |
Full Name | Bon Secours Fastcare |
---|---|
Speciality | Family Medicine |
Location | 200 Charter Colony Pkwy, Midlothian, Virginia |
Authorized Official Name and Position | George O Butler (DIRECTOR CORPORATE RESPONSIBILITY) |
Authorized Official Contact | 8042810271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bon Secours Fastcare 200 Charter Colony Pkwy Midlothian VA 23114-4584 Ph: (804) 281-0275 | Bon Secours Fastcare 200 Charter Colony Pkwy Midlothian VA 23114-4584 Ph: (804) 281-0275 |
NPI Number | 1104227263 |
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Provider Enumeration Date | 09/09/2014 |
Last Update Date | 09/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104227263 | NPI | - | NPPES |
C09633 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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