Organization
NMG AFFILIATE PRACTICE I, LLC
Active
Other names
Novant Health UVA Health System Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(703) 396-5292
Entity
Organization
Contact information
Practice address
15225 HEATHCOTE BLVD, HAYMARKET, VA 20169-6264
(703) 396-5292
(703) 396-5297
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 396-5292
(703) 396-5297
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/09/2015
Last updated
04/06/2016
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