Graduated: 2012
NPI: 1992053367
Practice Locations (2)
PRIVIA MEDICAL GROUP TENNESSEE LLC
55 MOUSE CREEK RD NW
CLEVELAND, TN 373124840
4238137333
PRIVIA MEDICAL GROUP TENNESSEE LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 384642746
5719826636
Source: CMS National Downloadable File, September 2026.