NPI age
20 years
Enumerated 2005-07-18
Across 1151 active orthopaedic surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1323784-07 | |
| 05 (NH) | 30205632 | |
| 01 (NH) | P00728660 | RAILROAD NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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