Graduated: 1986
NPI: 1912922386
Practice Locations (4)
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR
FAYETTEVILLE, GA 302141578
PRIVIA MEDICAL GROUP OF GEORGIA LLC
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 302147663
7704604285
PRIVIA MEDICAL GROUP OF GEORGIA LLC
119 W HILL ST
THOMASVILLE, GA 317926618
7703042220
TIFT REGIONAL HEALTH SYSTEM INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
Source: CMS National Downloadable File, September 2026.