Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nmg Affiliate Practice I, LLC

Organization Internal Medicine Physician · NPI 1063016160

Nmg Affiliate Practice I, LLC is an Internal Medicine Physician in Manassas, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8644 Sudley Rd Ste 315
Manassas, VA 20110-4425
Phone: (703) 369-8405
Fax: (703) 369-8533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063016160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Uva Diabetes And Nutrition Manassas
NPI enumeratedNovember 30, 2020
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing addressPo Box 936952, Atlanta, GA 31193-6952

Other providers in Manassas