Organization
PRIVIA MEDICAL GROUP OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE WOOD (VP REVENUE CYCLE MANAGER)
(301) 672-2645
Entity
Organization
Contact information
Practice address
101 YORKTOWN DR, FAYETTEVILLE, GA 30214-1578
(770) 460-4285
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
03/03/2022
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