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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