Nmg Affiliate Practice I, LLC
NPI #1831466440 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1831466440
- Entity Type
- Organization
- Organization Name
- Nmg Affiliate Practice I, LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Nov 28, 2011
- Last Updated
- Sep 14, 2021
Practice Location
- Address
- 14010 SMOKETOWN RD STE 105
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-4723
- Phone
- (703) 730-4848
Authorized Official
- Name
- SHALA DAVIS
- Title
- RCS MANAGER
- Phone
- (704) 303-7517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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