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Organization
NMG AFFILIATE PRACTICE I, LLC
Active
Organization
NMG AFFILIATE PRACTICE I, LLC
Active
Other names
Novant Health UVA Health System Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(571) 284-1250
Entity
Organization
Contact information
Practice address
480 FLETCHER DR STE 3, WARRENTON, VA 20186-2185
(571) 284-1220
(540) 680-2879
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(571) 284-1250
(540) 680-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Enumeration date
12/14/2015
Last updated
04/06/2016
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