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Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP, CRED & ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602-3243
(301) 638-9670
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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