NPI age
19 years
Enumerated 2006-06-06
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 08BBTXN | GA MEDICARE PTAN FOR MPPG & GRP3905 |
| 05 (SC) | G40663 | |
| 01 (GA) | 080164681 | RR MEDICARE FOR MPPG & CH5121 |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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