Graduated: 2016
NPI: 1023552544
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1327 STADIUM DR
MACON, GA 312071302
4783012696
Source: CMS National Downloadable File, September 2026.