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
711 ACADEMY RD, CATONSVILLE, MD 21228-1802
(410) 788-3300
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(484) 228-1065
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
04/18/2026
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