NPI age
19 years
Enumerated 2006-10-04
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 208258814 | |
| 01 (KS) | 927874 | FIRSTGUARD |
| 05 (KS) | 100330800B | |
| 01 (MO) | 21861028 | BCBS KANSAS CITY |
| 01 | P00278644 | RAILROAD MEDICARE |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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