Graduated: 2018
NPI: 1750874509
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
119 W HILL ST
THOMASVILLE, GA 317926618
7703042220
Source: CMS National Downloadable File, September 2026.