Graduated: 1996
NPI: 1104805985
Practice Locations (3)
PRIVIA MEDICAL GROUP, LLC
610 SOLAREX CT
FREDERICK, MD 217038624
3016825500
PRIVIA MEDICAL GROUP, LLC
11350 PEMBROOKE SQ, SUITE 304
WALDORF, MD 206034809
5713668845
PRIVIA MEDICAL GROUP, LLC
19 W FREDERICK ST
WALKERSVILLE, MD 217938230
3018456336
Source: CMS National Downloadable File, September 2026.