Graduated: 2017
NPI: 1710460605
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
108 N PARK DR
FAYETTEVILLE, GA 302141645
7704877807
Source: CMS National Downloadable File, September 2026.