CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC

MECHANICSVILLE, VA
NPI1629549779
Entity TypeOrganization
Authorized ContactMATTHEW PHILIP SMOLAREK
CFO
412-999-5188
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Additional Taxonomies207R00000X Internal Medicine
Enumeration Date2018-12-16
Last Update Date2024-07-03
Business Address
CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC
8220 MEADOWBRIDGE RD STE 310
MECHANICSVILLE, VA 23116-2340
Phone number: 804-417-0120
Mailing Address
CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220