NPI age
19 years
Enumerated 2006-08-29
Across 267 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10048449 | AMERIGROUP |
| 01 (GA) | 342733 | WELLCARE MEDICAID |
| 05 (GA) | 00233901A | |
| 05 (SC) | G19957 | |
| 01 (GA) | 19957 | STATE LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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