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Organization

NMG AFFILIATE PRACTICE I, LLC

Active
Other names
UVA Obstetrics and Gynecology Fletcher Drive
Organization subpart
No

Provider details

NPI number
Authorized official
SHALA DAVIS (RCS MGR)
(704) 303-7517
Entity
Organization

Contact information

Practice address
480 FLETCHER DR, SUITE 3, WARRENTON, VA 20186-2185
(571) 261-3529
(703) 753-5613
Mailing address
PO BOX 936952, ATLANTA, GA 31193-6952

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/29/2017
Last updated
09/14/2021
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