Graduated: 1988
NPI: 1144215872
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
101 HARTFORD RD W, SUITE 101
FORT GAINES, GA 398514331
2292102100
PRIVIA MEDICAL GROUP OF GEORGIA LLC
11 MAIN ST, UNIT 201
JEKYLL ISLAND, GA 315271064
9127660755
Source: CMS National Downloadable File, September 2026.