Organization
MARYVIEW HOSPITAL LLC
Active
Other names
BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 561-7672
Entity
Organization
Contact information
Practice address
12720 MCMANUS BLVD STE 308, NEWPORT NEWS, VA 23602-4414
(757) 947-3840
(757) 947-3848
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
09/24/2020
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