Organization
MARYVIEW HOSPITAL LLC
Active
Other names
Bon Secours Neuroscience Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
3640 HIGH ST, SUITE 1A, PORTSMOUTH, VA 23707-3213
(757) 215-3565
(757) 397-8026
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
04/27/2022
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