NPI age
20 years
Enumerated 2005-11-07
Across 1024 active hospitalist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11SCGLV | MEDICARE PIN |
| 01 (GA) | 757480554H | MEDICAID |
| 01 (GA) | 11SCHNQ | MEDICARE PIN |
| 01 (GA) | 757480554F | MEDICAID |
| 01 (GA) | P00412395 | RAILROAD MEDICARE |
Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.
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