Nmg Affiliate Practice I, LLC

NPI #1265895742 in Haymarket, Virginia

Provider Information

NPI Number: 1265895742
Entity Type: Organization
Organization Name: Nmg Affiliate Practice I, LLC
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Apr 1, 2016
Last Updated: Apr 1, 2016

Practice Location

Address: 15195 HEATHCOTE BLVD
Address 2: STE 350
City: Haymarket
State: Virginia
ZIP Code: 20169-6242
Phone: (704) 316-7585

Authorized Official

Name: GEOFFREY K GARDNER
Title: VP OF FINANCE
Phone: (704) 316-7585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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