NMG AFFILIATE PRACTICE I LLC NPI 1114222700

NPI Information

  • NPI: 1114222700
  • Provider Name: NMG AFFILIATE PRACTICE I LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH PIEDMONT VEIN
  • Address: 150 CHARLOIS BLVD
    SUITE 290
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 765-2500

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NPI Details

NMG AFFILIATE PRACTICE I LLC is a cardiovascular disease internal medicine in Winston Salem, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NMG AFFILIATE PRACTICE I LLC NPI is 1114222700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Piedmont Vein.

The provider's business location address is:

150 CHARLOIS BLVD
SUITE 290
WINSTON SALEM, NC
ZIP 27103-549
Phone: (336) 765-2500
Fax: (336) 765-2555

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (336) 765-2500.

The enumeration date for this NPI number is 1/13/2011 and was last updated on 6/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

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This page was last updated on: 3/30/2025

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