NMG AFFILIATE PRACTICE I, LLC

MANASSAS, VA
NPI1285236547
Entity TypeOrganization
Authorized ContactSHALA DAVIS
Enrollment Manager
704-316-7845
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2020-11-12
Last Update Date2020-11-12
Business Address
NMG AFFILIATE PRACTICE I, LLC
8644 SUDLEY RD STE 315
MANASSAS, VA 20110-4425
Phone number: 703-369-8405
Mailing Address
NMG AFFILIATE PRACTICE I, LLC
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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