NMG AFFILIATE PRACTICE I, LLC

MANASSAS, VA
NPI1659770774
Doing Business AsNOVANT HEALTH UVA HEALTH SYSTEM NORTHERN VIRGINIA PSYCHIATRIC ASSOCIA
Entity TypeOrganization
Authorized ContactGEOFFREY K. GARDNER
VP Of Finance
703-369-8464
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Additional Taxonomies103T00000X Psychologist
1041C0700X Social Worker, Clinical
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
Enumeration Date2014-08-14
Last Update Date2016-09-28
Business Address
NMG AFFILIATE PRACTICE I, LLC
8680 HOSPITAL WAY
MANASSAS, VA 20110-4287
Phone number: 703-369-8464
Mailing Address
NMG AFFILIATE PRACTICE I, LLC
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 703-369-8464