NPI age
19 years
Enumerated 2007-02-14
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00278858A21 | |
| 01 (GA) | 1121944 | NABP # |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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