NPI 1013674035
Privia Medical Group Tennessee LLC
Practice location
- Address
- 4816 Main St STE L, Spring Hill, TN 37174-3254
- Phone
- (571) 982-6636
- Mailing address
- 950 N Glebe Rd STE 700, Arlington, VA 22203-4173
Authorised official
- Name
- Mary Roller
- Title
- Associate Director/Enrollment
- Phone
- (770) 312-5226
Registered specialties
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Registry record
- NPI
- 1013674035
- Entity type
- Organization
- NPI issued
- 24 Nov 2021
- Record last updated
- 13 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.