Privia Medical Group, LLC

NPI #1467909036 in Fairfax, Virginia

Provider Information

NPI Number: 1467909036
Entity Type: Organization
Organization Name: Privia Medical Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 1, 2016
Last Updated: Mar 5, 2020

Practice Location

Address: 9401 LEE HWY
Address 2: SUITE 400
City: Fairfax
State: Virginia
ZIP Code: 22031-1849
Phone: (703) 383-4836

Authorized Official

Name: MAUREEN CLANCY
Title: SENIOR VICE PRESIDENT
Phone: (571) 366-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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