NPI age
19 years
Enumerated 2006-08-19
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00381917D | |
| 01 (GA) | 481143 | BCBS |
| 05 (GA) | 00381917C | |
| 01 (GA) | 4491297 | AETNA |
| 01 (GA) | 080184143 | MEDICARE RAILROAD |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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