NPI age
19 years
Enumerated 2006-07-24
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 070016848 | MEDICARE RR |
| 01 (GA) | 07BBSST | MEDICARE ID |
| 01 (GA) | 1134544679 | CMS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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