| Nmg Affiliate Practice I, Llc | |
|
8680 Hospital Way Manassas VA 20110-4287 | |
| (703) 369-8464 | |
| (703) 369-8467 |
| Full Name | Nmg Affiliate Practice I, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8680 Hospital Way, Manassas, Virginia |
| Authorized Official Name and Position | Geoffrey K. Gardner (VP OF FINANCE) |
| Authorized Official Contact | 7033698464 |
| 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: (703) 369-8464 | Nmg Affiliate Practice I, Llc 8680 Hospital Way Manassas VA 20110-4287 Ph: (703) 369-8464 |
| NPI Number | 1659770774 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659770774 | NPI | - | NPPES |
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