NPI age
19 years
Enumerated 2007-03-08
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | AZ0728210 | BLUE CROSS BLUE SHIELD |
| 05 (AZ) | 755879 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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