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Organization

NMG AFFILIATE PRACTICE I, LLC

Active
Other names
Novant Health UVA Health System Transitional Care
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY GARDNER (VP OF FINANCE)
(704) 384-1840
Entity
Organization

Contact information

Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 369-8000

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
04/24/2019
Last updated
04/24/2019
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