Organization
MARYVIEW HOSPITAL LLC
Active
Parent organization
MARYVIEW HOSPITAL LLC
Other names
Bon Secours Western Branch Primary Care
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
2613 TAYLOR RD STE 201, CHESAPEAKE, VA 23321-2205
(757) 738-1600
(757) 465-8616
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
09/24/2020
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