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)
(704) 384-7606
Entity
Organization
Contact information
Practice address
4197C WINCHESTER RD, MARSHALL, VA 20115-3252
(571) 284-3460
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(571) 284-3460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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