# MARYVIEW HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARYVIEW HOSPITAL LLC
- **Other names:** Deep Creek Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033149034
- **Legal business name:** MARYVIEW HOSPITAL LLC
- **Authorized official:** WILBUR GAY (CFO)
- **Authorized official phone:** (864) 561-7672

## Contact information

- **Practice address:** 2605 MOSES GRANDY TRL, SUITE D, CHESAPEAKE, VA 23323-6712
- **Practice address phone:** (757) 485-3600
- **Practice address fax:** (757) 485-9458
- **Mailing address:** 2605 MOSES GRANDY TRL, SUITE D, CHESAPEAKE, VA 23323-6712
- **Mailing address phone:** (757) 485-3600
- **Mailing address fax:** (757) 485-9458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 09/24/2020