Privia Medical Group Tennessee LLC
NPI #1851058879 in White House, Tennessee
Provider Information
- NPI Number
- 1851058879
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Tennessee LLC
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- Nov 24, 2021
- Last Updated
- Jul 13, 2022
Practice Location
- Address
- 707 HIGHWAY 76
- City
- White House
- State
- Tennessee
- ZIP Code
- 37188-9208
- Phone
- (571) 982-6636
Authorized Official
- Name
- MARY ROLLER
- Title
- ASSOCIATE DIRECTOR/ENROLLMENT
- Phone
- (770) 312-5226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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