Graduated: 1989
NPI: 1336167816
Practice Locations (3)
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
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
Source: CMS National Downloadable File, September 2026.