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Organization

PRIVIA MEDICAL GROUP SOUTH GEORGIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAHAM GALKA (VICE PRESIDENT)
(571) 295-7514
Entity
Organization

Contact information

Practice address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3300
Mailing address
950 N GLEBE RD, SUITE 4000, ARLINGTON, VA 22203-1824
(571) 295-7514

Taxonomy

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

Other

Enumeration date
05/13/2016
Last updated
05/13/2016
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