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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