NMG AFFILIATE PRACTICE I, LLC

WOODBRIDGE, VA
NPI1831466440
Doing Business AsUVA BREAST SURGERY WOODBRIDGE
Entity TypeOrganization
Authorized ContactSHALA DAVIS
Rcs Manager
704-303-7517
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2011-11-28
Last Update Date2021-09-14
Business Address
NMG AFFILIATE PRACTICE I, LLC
14010 SMOKETOWN RD STE 105
WOODBRIDGE, VA 22192-4723
Phone number: 703-730-4848
Mailing Address
NMG AFFILIATE PRACTICE I, LLC
PO BOX 936952
ATLANTA, GA 31193-6952
Phone number: