NPI age
19 years
Enumerated 2006-08-03
Across 125 active pain medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 023101 | LICENSE |
| 01 (GA) | LICENSE | 023101 |
| 05 (GA) | 000281652A |
Solo or small practice. No other active providers share this practice address in NPPES.
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