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Organization

MARYVIEW HOSPITAL LLC

Active
Parent organization
MARYVIEW HOSPITAL LLC
Other names
Harbour View Family Practice
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
5818 HARBOUR VIEW BLVD STE 250, SUFFOLK, VA 23435-3317
(757) 673-5890
(757) 673-5946
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
06/26/2006
Last updated
09/24/2020
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