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Organization

PRIVIA PEDIATRIC MEDICAL GROUP OF GEORGIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAHAM GALKA (SENIOR DIRECTOR)
(571) 295-7514
Entity
Organization

Contact information

Practice address
101 YORKTOWN DR, FAYETTEVILLE, GA 30214-1578
(770) 460-4285
Mailing address
950 N GLEBE RD, SUITE 4000, ARLINGTON, VA 22203-1824
(571) 295-7514

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/10/2014
Last updated
12/10/2014
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