Nmg Affiliate Practice I, LLC

NPI #1639530124 in Marshall, Virginia

Provider Information

NPI Number: 1639530124
Entity Type: Organization
Organization Name: Nmg Affiliate Practice I, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 4197C WINCHESTER RD
City: Marshall
State: Virginia
ZIP Code: 20115-3252
Phone: (571) 284-3460

Authorized Official

Name: GEOFFREY K GARDNER
Title: VP OF FINANCE
Phone: (704) 384-7606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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