Graduated: 1997
NPI: 1730112723
Practice Locations (3)
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
PRIVIA MEDICAL GROUP OF GEORGIA LLC
951 S BROAD ST
THOMASVILLE, GA 317926161
2292284130
Source: CMS National Downloadable File, September 2026.