Organization
PRIVIA CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY IVESS (CREDENTIALING & ENROLLMENT MANAGER)
(571) 366-8831
Entity
Organization
Contact information
Practice address
950 N GLEBE RD, SUITE 4000, ARLINGTON, VA 22203-1824
(571) 366-8850
Mailing address
950 N GLEBE RD, SUITE 4000, ARLINGTON, VA 22203-1824
(571) 366-8850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/11/2016
Last updated
11/30/2016
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