NPI age
20 years
Enumerated 2006-01-16
Across 187 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10053094 | AMERIGROUP |
| 01 (GA) | 196507 | BCBS |
| 01 (GA) | 2318238 | UNITED HEALTHCARE |
| 05 (GA) | 000975202B | |
| 01 (GA) | 340825 | WELLCARE |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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