Graduated: 2013
NPI: 1740610609
Practice Locations (2)
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
PRIVIA MEDICAL GROUP TENNESSEE LLC
6215 HUMPHREYS BLVD, SUITE 200
MEMPHIS, TN 381202382
9015126086
Source: CMS National Downloadable File, September 2026.