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Privia Medical Group Of Georgia LLC

Internal Medicine in Savannah, GA. Organization (NPI-2).

NPI number1164052189
StatusActive
Last updated in NPPESJan 17, 2020

Details

NPI
1164052189
Entity type
Organization (NPI-2)
Legal business name
Privia Medical Group Of Georgia LLC
Organization subpart
No
Enumeration date
Jan 17, 2020
Certification date
Jan 17, 2020
Last updated
Jan 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––

Practice location

340 Eisenhower Dr Ste 1200
Savannah, GA 31406-2675

Phone 912-443-4200

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173

Authorized official

Courtney Ivess
Associate Director, Credentialing
5713668831

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