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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
203 PERRY PKWY STE 1, GAITHERSBURG, MD 20877-2169
(571) 982-6636
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician

Other

Enumeration date
02/01/2024
Last updated
07/10/2026
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