NPI age
19 years
Enumerated 2007-03-05
Across 1024 active hospitalist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 721978496A | |
| 01 (GA) | 466640 | WELLCARE |
| 05 (SC) | G60731 | |
| 01 | 01352254 | AMERIGROUP |
| 05 (GA) | 721978496B | |
| 01 (GA) | P00803304 | RR MEDICARE |
| 01 (GA) | P00609441 | RR MEDICARE |
Part of a multi-provider practice. 64 other active providers share this practice address in NPPES.
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