# PRIVIA MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1790575082
- **Authorized official:** CRISTY CHRONISTER (PAYER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (443) 789-2960

## Contact information

- **Practice address:** 101 FLEET ST, ROCKVILLE, MD 20850-2309
- **Practice address phone:** (301) 298-1040
- **Practice address fax:** (240) 847-7178
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
- **Mailing address phone:** (703) 754-0425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2025
- **Last updated:** 05/09/2025