# PRIVIA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790542652
- **Authorized official:** BRIANNA FOULKROD (AVP)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 18111 PRINCE PHILIP DR STE 121, OLNEY, MD 20832-1503
- **Practice address phone:** (301) 591-8263
- **Practice address fax:** (301) 591-8256
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
- **Mailing address phone:** (571) 982-6636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 07/10/2026