NPI age
20 years
Enumerated 2006-01-20
Across 2726 active pediatrics providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 302578 | WELLCARE |
| 01 (GA) | 4360675 | AETNA |
| 01 (GA) | 302577 | WELLCARE |
| 01 (GA) | 317570 | CIGNA |
| 01 (GA) | 302566 | WELLCARE |
| 01 (GA) | 302576 | WELLCARE |
| 01 (GA) | 1201604 | UNITED HEALTHCARE |
| 05 (GA) | 000532298R | |
| 05 (GA) | 000532298S | |
| 05 (GA) | 000532298P | |
| 05 (GA) | 000532298Q | |
| 01 (GA) | 10033001 | AMERIGROUP |
| 05 (GA) | 000532298N | |
| 01 (GA) | 52450432 | BCBS |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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