Graduated: 2017
NPI: 1891211900
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
610 SOLAREX CT
FREDERICK, MD 217038624
3016825500
TEAM KING INC
171 W CRAWFORD AVE
CONNELLSVILLE, PA 154253526
7246287288
Source: CMS National Downloadable File, September 2026.