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Organization
MARYVIEW HOSPITAL LLC
Active
Organization
MARYVIEW HOSPITAL LLC
Active
Parent organization
MARYVIEW HOSPITAL LLC
Other names
Harbour View 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
5818 HARBOUR VIEW BLVD STE 250, SUFFOLK, VA 23435-3317
(757) 673-5890
(757) 673-5946
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/26/2006
Last updated
09/24/2020
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