# MARYVIEW HOSPITAL LLC

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

## Provider details

- **NPI number:** 1518994805
- **Legal business name:** MARYVIEW HOSPITAL LLC
- **Authorized official:** WILBUR GAY (CFO)
- **Authorized official phone:** (864) 561-7672

## Contact information

- **Practice address:** 2897 BRIDGE RD, SUFFOLK, VA 23435-1799
- **Practice address phone:** (757) 484-7248
- **Practice address fax:** (757) 484-8316
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 09/24/2020