Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1983
NPI: 1124181086
Practice Locations (4)
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
726 S 8TH ST
GRIFFIN, GA 302244827
7702285407
PRIVIA MEDICAL GROUP OF GEORGIA LLC
747 S HILL ST
GRIFFIN, GA 302244830
7702285407
Source: CMS National Downloadable File, September 2026.