NPI 1225734411
Privia Medical Group, LLC
Practice location
- Address
- 10750 Columbia Pike STE 401b, Silver Spring, MD 20901-4457
- Phone
- (571) 972-6636
- Mailing address
- 950 N Glebe Rd STE 700, Arlington, VA 22203-4173
Authorised official
- Name
- Susan Porter
- Title
- Manager
- Phone
- (615) 500-2199
Registered specialties
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1225734411
- Entity type
- Organization
- NPI issued
- 31 Jan 2023
- Record last updated
- 31 Jan 2023
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.