| Nmg Affiliate Practice I, Llc | |
|
8644 Sudley Rd Ste 315 Manassas VA 20110-4425 | |
| (703) 369-8405 | |
| Not Available |
| Full Name | Nmg Affiliate Practice I, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8644 Sudley Rd Ste 315, Manassas, Virginia |
| Authorized Official Name and Position | Shala Davis (ENROLLMENT MANAGER) |
| Authorized Official Contact | 7043167845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nmg Affiliate Practice I, Llc Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Nmg Affiliate Practice I, Llc 8644 Sudley Rd Ste 315 Manassas VA 20110-4425 Ph: (703) 369-8405 |
| NPI Number | 1285236547 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285236547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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