Graduated: 2014
NPI: 1750797593
Practice Locations (2)
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
PRIVIA MEDICAL GROUP TENNESSEE LLC
4998 CROSSINGS CIR, SUITE 200
MT JULIET, TN 371220018
6155535000
Source: CMS National Downloadable File, September 2026.