Graduated: 2017
NPI: 1023667151
Practice Locations (2)
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
PRIVIA MEDICAL GROUP TENNESSEE LLC
1405 HILLSBORO BLVD
MANCHESTER, TN 373552107
9319541020
Source: CMS National Downloadable File, September 2026.