# NMG AFFILIATE PRACTICE I, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health UVA Health System Express Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154796373
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (571) 284-1250

## Contact information

- **Practice address:** 480 FLETCHER DR STE 3, WARRENTON, VA 20186-2185
- **Practice address phone:** (571) 284-1220
- **Practice address fax:** (540) 680-2879
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (571) 284-1250
- **Mailing address fax:** (540) 680-2879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | VA | Yes |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 04/06/2016