NPI age
20 years
Enumerated 2005-07-14
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 213263 | |
| 01 (GA) | 976918 | BCBS |
| 01 (GA) | P00117061 | RR MEDICARE |
Part of a multi-provider practice. 54 other active providers share this practice address in NPPES.
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