Graduated: 1991
NPI: 1073568630
Practice Locations (3)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
PRIVIA MEDICAL GROUP OF GEORGIA LLC
2484 E PINETREE BLVD
THOMASVILLE, GA 317924854
2295946800
Source: CMS National Downloadable File, September 2026.