| NPI | 1891354759 |
|---|---|
| Doing Business As | BON SECOURS OLD TOWNE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |