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Organization

PRIVIA MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA FOULKROD (AVP CRED AND ENROLLMENT)
(571) 650-2710
Entity
Organization

Contact information

Practice address
2400 LONGSTONE LN STE 106, MARRIOTTSVILLE, MD 21104-1532
(410) 770-2793
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(484) 228-1065

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
09/12/2024
Last updated
05/08/2026
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