NPI age
19 years
Enumerated 2006-12-06
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 210445 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 000888742F | |
| 05 (GA) | 000888742C |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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