Nmg Affiliate Practice I, LLC

NPI #1154796373 in Warrenton, Virginia

Provider Information

NPI Number: 1154796373
Entity Type: Organization
Organization Name: Nmg Affiliate Practice I, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 14, 2015
Last Updated: Apr 6, 2016

Practice Location

Address: 480 FLETCHER DR STE 3
City: Warrenton
State: Virginia
ZIP Code: 20186-2185
Phone: (571) 284-1220

Authorized Official

Name: GEOFFREY K GARDNER
Title: VP OF FINANCE
Phone: (571) 284-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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