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Organization

PRIVIA MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
7175 12TH ST NW APT 304, WASHINGTON, DC 20012-1888
(202) 525-2426
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/26/2024
Last updated
07/10/2026
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