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Organization

MARY IMMACULATE HOSPITAL

Active
Other names
DBA BON SECOURS PALLIATIVE MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN SMITH (CREDENTIALING SPECIALIST)
(757) 215-2784
Entity
Organization

Contact information

Practice address
12720 MCMANUS BLVD, SUITE 301, NEWPORT NEWS, VA 23602-4414
(757) 947-3838
(757) 327-4280
Mailing address
7007 HARBOUR VIEW BLVD, SUITE 108, SUFFOLK, VA 23435-3657
(757) 215-2784
(757) 215-2728

Taxonomy

Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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