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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
106 IRVING ST NW STE 3200, WASHINGTON, DC 20010-2964
(202) 832-1800
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(800) 973-1442

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/09/2025
Last updated
04/18/2026
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