Organization
MARY IMMACULATE HOSPITAL
Active
Organization
MARY IMMACULATE HOSPITAL
Active
Other names
DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A SMITH (CREDENTIALING SPECIALIST)
(757) 215-2784
Entity
Organization
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 203, NEWPORT NEWS, VA 23602-4414
(757) 397-2383
(757) 673-0236
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
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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