Graduated: 2000
NPI: 1326066895
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 301173802
7708326861
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
Source: CMS National Downloadable File, September 2026.