| Privia Medical Group Of Georgia Llc | |
|
1326 Eisenhower Dr Bldg 1 Savannah GA 31406-3928 | |
| (571) 366-8850 | |
| Not Available |
| Full Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1326 Eisenhower Dr Bldg 1, Savannah, Georgia |
| Authorized Official Name and Position | Maureen Clancy (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 5713668845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Of Georgia Llc 950 N Glebe Rd Ste 4000 Arlington VA 22203-1824 Ph: (571) 366-8850 | Privia Medical Group Of Georgia Llc 1326 Eisenhower Dr Bldg 1 Savannah GA 31406-3928 Ph: (571) 366-8850 |
| NPI Number | 1356907273 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 4284951542 |
|---|---|
| Medicare Enrollment ID | O20200204002834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356907273 | NPI | - | NPPES |
| 7787550001 | Other | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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