Nmg Affiliate Practice I, LLC
NPI #1922449263 in South Riding, Virginia
Provider Information
- NPI Number
- 1922449263
- Entity Type
- Organization
- Organization Name
- Nmg Affiliate Practice I, LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jul 16, 2013
- Last Updated
- Apr 6, 2016
Practice Location
- Address
- 25055 RIDING PLZ
- Address 2
- SUITE 230
- City
- South Riding
- State
- Virginia
- ZIP Code
- 20152-5917
- Phone
- (703) 361-3551
Authorized Official
- Name
- GEOFFREY K GARDNER
- Title
- VP OF FINANCE
- Phone
- (571) 261-3529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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