NPI age
20 years
Enumerated 2005-06-08
Across 160 active radiology providers in Georgia.
8 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | N343829 | WELLCARE |
| 01 (GA) | 52666903015 | BCBS |
| 01 (GA) | 000826834N | PEACH STATE HEALTH PLAN |
| 01 (GA) | P00266283 | RAILROAD MEDICARE |
| 05 (GA) | 000826834N |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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