Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nmg Affiliate Practice I, LLC

Organization Internal Medicine Physician · NPI 1427650340

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
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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 number1427650340
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNmg Affiliate Practice I, LLC
Authorized official Shala Davis — Enrollment Mnaager · (704) 316-7845
Other names Novant Health Uva Health Systemdiabetes & Nutrition Manassas
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 12, 2020
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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