Graduated: 2015
NPI: 1104201417
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
1655 LEBANON RD, SUITE A
LAWRENCEVILLE, GA 300435116
7706822024
Source: CMS National Downloadable File, September 2026.