NPI age
19 years
Enumerated 2007-01-30
Across 1881 active specialist providers in Georgia.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP7545 | MEDICARE GRP NUMBER |
| 05 (GA) | 00819442D |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 5 individual providers on file at this primary address.
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