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) 384-7840
Entity
Organization
Contact information
Practice address
15225 HEATHCOTE BLVD, HAYMARKET, VA 20169-6264
(571) 284-1000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(571) 284-1000
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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