Graduated: 1969
NPI: 1205260643
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
8644 SUDLEY RD, SUITE 220
MANASSAS, VA 201104425
5713668845
PRIVIA MEDICAL GROUP, LLC
227 S MAIN ST
WOODSTOCK, VA 226641451
5404597757
Source: CMS National Downloadable File, September 2026.