NPI age
20 years
Enumerated 2006-03-14
Across 807 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00621343D | |
| 01 (GA) | 18BDFWQ | INDIVIDUAL MEDICARE # |
| 05 (SC) | G38698 | |
| 05 (NY) | 03638731 | |
| 05 (SC) | GPA752 |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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