NPI age
20 years
Enumerated 2006-02-13
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 113084 | BHP (UNISON) |
| 01 (TN) | 141151 | BLUE CROSS BLUE SHIELD |
| 01 (TN) | 12063 | TLC |
| 05 (TN) | 3067653 | |
| 01 (TN) | 4303047 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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