Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP CRED AND ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
10200 COPPERMINE RD, WOODSBORO, MD 21798-8319
(301) 898-0618
(240) 578-4480
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
04/18/2026
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