| Privia Medical Group, Llc | |
|
6862 Elm St Ste 450 Mc Lean VA 22101-3838 | |
| (301) 339-8027 | |
| Not Available |
| Full Name | Privia Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 6862 Elm St Ste 450, Mc Lean, Virginia |
| Authorized Official Name and Position | Allison Hennessey (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3042769254 |
| 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: () - | Privia Medical Group, Llc 6862 Elm St Ste 450 Mc Lean VA 22101-3838 Ph: (301) 339-8027 |
| NPI Number | 1194510420 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194510420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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