| NPI | 1750081378 |
|---|---|
| Doing Business As | PRIVIA MEDICAL GROUP - NORTH CAROLINA |
| Entity Type | Organization |
| Authorized Contact | JODY MORRIS VP Ops & New Development 919-497-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-09-11 |