| Bon Secours Suffolk Primary Care | |
|
148 Burnetts Way Ste 107 Suffolk VA 23434-6149 | |
| (757) 738-1375 | |
| (757) 934-6935 |
| Full Name | Bon Secours Suffolk Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 148 Burnetts Way, Suffolk, 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 |
|---|---|
| Bon Secours Suffolk Primary Care 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Suffolk Primary Care 148 Burnetts Way Ste 107 Suffolk VA 23434-6149 Ph: (757) 738-1375 |
| NPI Number | 1922418235 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922418235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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