NPI age
19 years
Enumerated 2006-07-20
Across 1280 active radiology providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10068472 | AMERIGROUP |
| 05 (SC) | 223350 | |
| 01 (GA) | 116825376A | PEACH STATE HEALTH PLAN |
| 01 (GA) | N347033 | WELLCARE |
| 05 (GA) | 116825376A | |
| 01 (GA) | P00340688 | RAILROAD MEDICARE |
| 01 (GA) | 52212349001 | BCBS |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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