NPI age
19 years
Enumerated 2006-11-29
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 65BBBNL | MEDICARE INDIVIDUAL # |
| 01 (GA) | PT003700 | STATE BOARD OF PT |
Solo or small practice. No other active providers share this practice address in NPPES.
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