Provider Demographics
NPI:1639562911
Name:HARGIS, MARY CARRINGTON (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CARRINGTON
Last Name:HARGIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6275 E VIRGINIA BEACH BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-2851
Mailing Address - Country:US
Mailing Address - Phone:757-466-0089
Mailing Address - Fax:757-466-8017
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-1700
Practice Address - Fax:423-826-1290
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE293872085R0202X
VA01012852572085R0202X
IL0361643762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology