NPI age
19 years
Enumerated 2006-11-30
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000946063C | |
| 01 (GA) | 340887 | WELLCARE |
| 01 (GA) | 52991634-001 | BCBS OF GEORGIA |
Solo or small practice. No other active providers share this practice address in NPPES.
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