Graduated: 2013
NPI: 1174852149
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
131 GOSHEN RD EXT, SUITE 300
RINCON, GA 313265590
9128260860
Source: CMS National Downloadable File, September 2026.