| 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 |
|---|---|
| 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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