Organization
PRIVIA MEDICAL GROUP, LLC
Active
Other names
Paul B Cannon DPM dba Falls Church Foot and Ankle Center, Privia Medical Group, LLC, Paul B Cannon DPM, PC, Falls Church Foot And Ankle Center 104-4
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA PEOPLES (AVP, CREDENTIALING & PAYER ENROLLME)
(571) 650-2710
Entity
Organization
Contact information
Practice address
104 E BROAD ST STE A, FALLS CHURCH, VA 22046-4501
(703) 237-1555
(703) 237-2253
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
03/06/2026
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