| Bon Secours Ironbridge Family Practice | |
|
11601 Iron Bridge Rd Ste 117 Chester VA 23831-1467 | |
| (804) 717-5300 | |
| (804) 748-7269 |
| Full Name | Bon Secours Ironbridge Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 11601 Iron Bridge Rd Ste 117, Chester, Virginia |
| Authorized Official Name and Position | Kimberly Ralston (SYSTEM DIRECTOR) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Ironbridge Family Practice Po Box 639993 Cincinnati OH 45263-9993 Ph: () - | Bon Secours Ironbridge Family Practice 11601 Iron Bridge Rd Ste 117 Chester VA 23831-1467 Ph: (804) 717-5300 |
| NPI Number | 1801173141 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801173141 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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