NPI age
19 years
Enumerated 2006-06-15
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 197470 | BLUE SHIELD |
| 05 (GA) | 000862661H |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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