| Bon Secours Primary Care Associates - Mechanicsville | |
|
7041 Lee Park Rd Mechanicsville VA 23111-3682 | |
| (804) 746-3505 | |
| (804) 730-8038 |
| Full Name | Bon Secours Primary Care Associates - Mechanicsville |
|---|---|
| Speciality | Family Medicine |
| Location | 7041 Lee Park Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Stephan F Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Primary Care Associates - Mechanicsville 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Primary Care Associates - Mechanicsville 7041 Lee Park Rd Mechanicsville VA 23111-3682 Ph: (804) 746-3505 |
| NPI Number | 1033577663 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033577663 | NPI | - | NPPES |
| C06115 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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