Graduated: 2021
NPI: 1265196869
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
612 LOVE AVE
TIFTON, GA 317944406
2293913300
Source: CMS National Downloadable File, September 2026.