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Organization
MARYVIEW HOSPITAL LLC
Active
Organization
MARYVIEW HOSPITAL LLC
Active
Parent organization
MARYVIEW HOSPITAL LLC
Other names
Deep Creek Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVIEW HOSPITAL LLC
Authorized official
WILBUR GAY (CFO)
(864) 561-7672
Entity
Organization
Contact information
Practice address
2605 MOSES GRANDY TRL, SUITE D, CHESAPEAKE, VA 23323-6712
(757) 485-3600
(757) 485-9458
Mailing address
2605 MOSES GRANDY TRL, SUITE D, CHESAPEAKE, VA 23323-6712
(757) 485-3600
(757) 485-9458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
09/24/2020
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