NPI age
19 years
Enumerated 2007-05-23
Across 220 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200952470 | |
| 01 (FL) | P01564915 | RAILROAD MEDICARE PTAN |
| 05 (GA) | 003219046A | |
| 05 (FL) | 015771800 | |
| 01 (IN) | 000000618824 | ANTHEM PIN |
Solo or small practice. No other active providers share this practice address in NPPES.
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