Graduated: 2014
NPI: 1083015531
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
2484 E PINETREE BLVD
THOMASVILLE, GA 317924854
2295946800
Source: CMS National Downloadable File, September 2026.