| Privia Medical Group, Llc | |
|
13204 Fountain Head Plz Hagerstown MD 21742-2678 | |
| (240) 215-1138 | |
| Not Available |
| Full Name | Privia Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 13204 Fountain Head Plz, Hagerstown, Maryland |
| Authorized Official Name and Position | Maria Gabbai (ENROLLMENT MANAGER) |
| Authorized Official Contact | 4845699066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group, Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 982-6636 | Privia Medical Group, Llc 13204 Fountain Head Plz Hagerstown MD 21742-2678 Ph: (240) 215-1138 |
| NPI Number | 1043072085 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043072085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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