NPI age
17 years
Enumerated 2009-03-30
Across 483 active pathology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 201328650A | |
| 01 (IN) | 000000998675 | ANTHEM |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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