NPI age
20 years
Enumerated 2005-10-18
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 276600100 | |
| 01 (GA) | P00173936 | MEDICARE RAILROAD PIN |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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