Organization · Type 2 NPI

NMG Affilate Practice I LLC

Hematology & Oncology Physician · Eden, NC

NPI number 1689077539 Active

Practice location

516 S Van Buren Rd
Eden, NC 27288-5019

Fax (336) 623-1031

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

8 other providers at this address

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About NPI 1689077539

NMG Affilate Practice I LLC's National Provider Identifier is 1689077539, issued on Oct 7, 2014. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Eden, NC. The record was last updated on May 14, 2015.