Graduated: 2024
NPI: 1053142075
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
128 PARKER AVE N
BROOKLET, GA 304158208
9128422101
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
Source: CMS National Downloadable File, September 2026.