Organization
NMG AFFILIATE PRACTICE I, LLC
Active
Other names
Novant Health UVA Health System NVA Psych Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 316-7585
Entity
Organization
Contact information
Practice address
15195 HEATHCOTE BLVD, STE 350, HAYMARKET, VA 20169-6242
(704) 316-7585
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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