NPI age
20 years
Enumerated 2006-04-18
Across 1151 active orthopaedic surgery providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 5905627 | |
| 01 (NC) | 1418Y | BCBS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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