NPI age
15 years
Enumerated 2010-06-10
Across 807 active ophthalmology providers in Georgia.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00190495A | |
| 01 (GA) | 020964 | GA LICENSE |
Multi-provider organization. 5 individual providers on file at this primary address.
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