NPI age
20 years
Enumerated 2006-05-10
Across 138 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 264389800 | |
| 05 (GA) | 00271543A | |
| 01 (GA) | 202I370889 | MEDICARE PART B |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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