NPI age
19 years
Enumerated 2006-07-03
Across 73 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0788625 | |
| 01 (OH) | 1120272 | UNITED HEALTHCARE |
| 05 (IN) | 200000650A | |
| 05 (KY) | 64865942 | |
| 01 (OH) | 000000008763 | ANTHEM |
| 01 (OH) | 0661552 | AETNA |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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