Organization · Type 2 NPI

Bon Secours-Virginia Healthsource

Family Medicine Physician · Richmond, VA

NPI number 1043243546 Active

Practice location

4835 S Laburnum Ave
Richmond, VA 23231

Fax (804) 226-4142

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Working Well, LLCOccupational Medicine Clinic/Center Richmond, VA NPI 1982009593

Other family medicine physician providers in Richmond

See all in Richmond →

NPI record

NPI: 1043243546
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Jul 27, 2018
Status: Active
Subpart: Yes of Bon Secours-Virginia Healthsource

Other names

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Dominion Family Physicians · doing business as
Dominion Family Physicians · doing business as

Authorized official

George Odell Butler
Director of Corp Responsibility
(804) 281-0271

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043243546

Bon Secours-Virginia Healthsource's National Provider Identifier is 1043243546, issued on Jul 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Richmond, VA. The record was last updated on Jul 27, 2018.