Organization
PRIVIA MEDICAL GROUP OF GEORGIA LLC
Active
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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