Organization
PRIVIA MEDICAL GROUP, LLC
Active
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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