NPI age
19 years
Enumerated 2006-08-14
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P00168410 | RAILROAD MEDICARE |
| 01 (GA) | 52025542003 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 000475065C |
Part of a multi-provider practice. 76 other active providers share this practice address in NPPES.
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