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Organization

PRIVIA MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
9601 BLACKWELL RD STE 260, ROCKVILLE, MD 20850-6487
(301) 610-0663
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
04/09/2025
Last updated
01/27/2026
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