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
COURTNEY IVESS (ASSOCIATE DIRECTOR, CREDENTIALING)
(571) 366-8831
Entity
Organization
Contact information
Practice address
340 EISENHOWER DR STE 1200, SAVANNAH, GA 31406-2675
(912) 443-4200
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
01/17/2020
Last updated
01/17/2020
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