NPI age
20 years
Enumerated 2006-05-17
Across 4616 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10044976 | AMERIGROUP |
| 05 (GA) | 119046432B | |
| 05 (GA) | 119046432C | |
| 01 (GA) | 333508 | WELLCARE |
| 01 (GA) | 11051 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 119046432 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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