NPI age
20 years
Enumerated 2005-09-21
Across 84 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00564825A | |
| 01 (SC) | G37131 | MEDICAID |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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