Organization
PRIVIA MEDICAL GROUP, LLC
Active
Other names
Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CLANCY (SENIOR VICE PRESIDENT)
(571) 982-6636
Entity
Organization
Contact information
Practice address
950 N GLEBE RD, SUITE 4000, ARLINGTON, VA 22203-1824
(571) 982-6636
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
03/05/2020
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