Organization
NMG AFFILIATE PRACTICE I LLC
Active
Organization
NMG AFFILIATE PRACTICE I LLC
Active
Other names
Novant Health UVA Health System Virginia Internal Medicine & Primary C
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K GARDNER (VP FINANCE)
(703) 328-6332
Entity
Organization
Contact information
Practice address
8575 SUDLEY RD, SUITE A, MANASSAS, VA 20110-3861
(703) 361-3161
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
04/06/2016
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