NPI age
20 years
Enumerated 2006-01-20
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 302586 | WELLCARE |
| 05 (GA) | 000476649C | |
| 05 (GA) | 000476649D | |
| 01 (GA) | 10032980 | AMERIGROUP |
| 05 (GA) | 000476649B | |
| 05 (GA) | 000476649F | |
| 01 (GA) | 6980458 | CIGNA |
| 05 (GA) | 000476649E | |
| 01 (GA) | 2063542 | AETNA HMO |
| 05 (GA) | 000476649G | |
| 01 (GA) | 1202904 | UNITED HEALTHCARE |
| 01 (GA) | 302569 | WELLCARE |
| 01 (GA) | 302572 | WELLCARE |
| 01 (GA) | 302565 | WELLCARE |
| 01 (GA) | 4216197 | AETNA PPO |
| 01 (GA) | 52660376 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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