Provider Demographics
NPI:1982091195
Name:GROVE, MARIE KATHERINE (MD)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:KATHERINE
Last Name:GROVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1212 KOGER CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4778
Mailing Address - Country:US
Mailing Address - Phone:804-897-2100
Mailing Address - Fax:804-897-9074
Practice Address - Street 1:7605 FOREST AVE STE 206
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4936
Practice Address - Country:US
Practice Address - Phone:804-897-2100
Practice Address - Fax:804-987-9074
Is Sole Proprietor?:No
Enumeration Date:2015-04-26
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101266958207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology