Graduated: 2020
NPI: 1538997523
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
1020 HULL ST
BALTIMORE, MD 212305356
4107520301
ATI HOLDINGS, LLC
871 E FORT AVE, UNIT 17
BALTIMORE, MD 212305117
4106223310
Source: CMS National Downloadable File, September 2026.