NPI age
19 years
Enumerated 2007-02-08
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 230045532A | |
| 01 (GA) | 10045585 | CMO AMERIGROUP |
| 01 (GA) | 743738-000 | CMO MAGELLAN WELLCARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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