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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
1635 N GEORGE MASON DR STE 250, ARLINGTON, VA 22205-3606
(703) 524-1212
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/09/2025
Last updated
01/27/2026
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