Graduated: 2010
NPI: 1679854103
Practice Locations (3)
753 HUMBLE DR, SUITE B
COOKEVILLE, TN 385014202
9317835582
PRIVIA MEDICAL GROUP TENNESSEE LLC
753 HUMBLE DR, SUITE B
COOKEVILLE, TN 385014202
9315201800
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
Source: CMS National Downloadable File, September 2026.