Organization · Type 2 NPI
Cleanslate Medical Group of Virginia, LLC
Addiction Medicine (Internal Medicine) Physician · Mechanicsville, VA
Practice location
8220 Meadowbridge Rd Ste 310
Mechanicsville, VA 23116-2340
Fax (804) 277-3029
Mailing address
8 Cadillac Dr Ste 180
Brentwood, TN 37027-5393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Another provider at this address
About NPI 1629549779
Cleanslate Medical Group of Virginia, LLC's National Provider Identifier is 1629549779, issued on Dec 16, 2018. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Mechanicsville, VA. The record was last updated on Jul 3, 2024.