NPI age
20 years
Enumerated 2005-11-18
Across 1280 active radiology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 581177261A | GA MEDICARE GRP PROV # |
| 05 (GA) | 000660822AU | |
| 01 (GA) | P0031463 | RAILROAD MEDICARE |
| 05 (GA) | 000660822AC |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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