| Privia Medical Group South Georgia, Llc | |
|
2402 Osler Ct Albany GA 31707-0205 | |
| (229) 438-3300 | |
| Not Available |
| Full Name | Privia Medical Group South Georgia, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2402 Osler Ct, Albany, Georgia |
| Authorized Official Name and Position | Graham Galka (VICE PRESIDENT) |
| Authorized Official Contact | 5712957514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group South Georgia, Llc 950 N Glebe Rd Suite 4000 Arlington VA 22203-1824 Ph: (571) 295-7514 | Privia Medical Group South Georgia, Llc 2402 Osler Ct Albany GA 31707-0205 Ph: (229) 438-3300 |
| NPI Number | 1619323144 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 05/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619323144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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