Organization
PRIVIA MEDICAL GROUP, LLC
Active
Other names
GoWell Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP)
(571) 650-2710
Entity
Organization
Contact information
Practice address
14900 POTOMAC TOWN PL STE 110, WOODBRIDGE, VA 22191-4095
(571) 506-0500
(571) 506-0525
Mailing address
PO BOX 13050, BELFAST, ME 04915-4021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/09/2025
Last updated
01/27/2026
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