Graduated: 2001
NPI: 1629119342
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
1885 SEMINOLE TRL
CHARLOTTESVILLE, VA 229011160
8043998185
PRIVIA MEDICAL GROUP, LLC
8644 SUDLEY RD, SUITE 220
MANASSAS, VA 201104425
5713668845
Source: CMS National Downloadable File, September 2026.