Nmg Affiliate Practice I, LLC

NPI #1669825105 in Haymarket, Virginia

Provider Information

NPI Number: 1669825105
Entity Type: Organization
Organization Name: Nmg Affiliate Practice I, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 15195 HEATHCOTE BLVD
Address 2: SUITE 338
City: Haymarket
State: Virginia
ZIP Code: 20169-6242
Phone: (571) 261-3270

Authorized Official

Name: GEOFFREY K. GARDNER
Title: VP OF FINANCE
Phone: (704) 384-7680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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