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 1700440674

Nmg Affiliate Practice I, LLC is an Internal Medicine Physician in Manassas, Virginia. Registered with an NPI since 2019.

In the registry since
2019
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

8700 Sudley Rd
Manassas, VA 20110-4418
Phone: (703) 396-5292
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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 number1700440674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Uva Pre-Surgical Care Prince William
NPI enumeratedApril 26, 2019
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing addressPo Box 936952, Atlanta, GA 31193-6952

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