Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC
Active OrganizationCLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC is a Addiction Medicine (Internal Medicine) organization located in MECHANICSVILLE, Virginia. NPI 1629549779 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · MECHANICSVILLE, VA
Registration Details
- NPI Number
- 1629549779
- Provider Type
- Organization
- NPI Issued
- Dec 16, 2018 (7.6664240042472 yrs)
- Last Updated
- Jul 3, 2024
Practice Information
- Address
-
8220 MEADOWBRIDGE RD STE 310MECHANICSVILLE, VA, 231162340Browse VA providers · Browse ZIP 23116
- Phone
- 8044170120
- Fax
- 8042773029
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.