NPI age
19 years
Enumerated 2006-09-22
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 251916 | |
| 01 (SC) | 576007863 | CIGNA |
| 05 (GA) | 540467491D | |
| 01 (SC) | 20020669 | SELECT HEALTH |
| 01 (SC) | 576007863 | UHC |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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