| Bon Secours Providence Medical Associates | |
|
5301 Providence Rd Suite 90 Virginia Beach VA 23464-4128 | |
| (757) 495-6896 | |
| (757) 474-2223 |
| Full Name | Bon Secours Providence Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 5301 Providence Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Greg A Simia (CFO) |
| Authorized Official Contact | 7576735928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Providence Medical Associates 5301 Providence Rd Suite 90 Virginia Beach VA 23464-4128 Ph: (757) 495-6896 | Bon Secours Providence Medical Associates 5301 Providence Rd Suite 90 Virginia Beach VA 23464-4128 Ph: (757) 495-6896 |
| NPI Number | 1457505711 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457505711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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