| Bon Secours Depaul Medical Center | |
|
309 Battlefield Blvd S Chesapeake VA 23322-5311 | |
| (757) 215-2777 | |
| Not Available |
| Full Name | Bon Secours Depaul Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 309 Battlefield Blvd S, Chesapeake, Virginia |
| Authorized Official Name and Position | Karen A Smith (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7572152784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Depaul Medical Center 7007 Harbour View Blvd Suite 108 Suffolk VA 23435-3657 Ph: (757) 215-2784 | Bon Secours Depaul Medical Center 309 Battlefield Blvd S Chesapeake VA 23322-5311 Ph: (757) 215-2777 |
| NPI Number | 1336520618 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336520618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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