NPI age
20 years
Enumerated 2006-02-20
Across 661 active general practice providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 206395 | BLUE CROSS |
| 05 (GA) | 000799345D |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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