Graduated: 2018
NPI: 1760973358
Practice Locations (2)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
116 ROSEDALE AVE
THOMASVILLE, GA 317926655
2292364361
Source: CMS National Downloadable File, September 2026.