Provider Demographics
NPI:1306834775
Name:GUYE, MARY LYDON (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:LYDON
Last Name:GUYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11803 JEFFERSON AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2565
Mailing Address - Country:US
Mailing Address - Phone:757-594-1806
Mailing Address - Fax:757-510-9079
Practice Address - Street 1:11803 JEFFERSON AVE STE 235
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2565
Practice Address - Country:US
Practice Address - Phone:757-594-1806
Practice Address - Fax:757-510-9079
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2020-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH87591208600000X
CAC545252086X0206X
VA01012638922086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery