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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)
(571) 650-2710
Entity
Organization
Contact information
Practice address
8333 CHERRY LN, LAUREL, MD 20707-4828
(866) 938-9996
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(484) 228-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
NULL
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
07/10/2026
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