NPI age
19 years
Enumerated 2007-02-21
Across 4970 active chiropractor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 0133762 | BCBS PROV NUMBER |
| 05 (GA) | 000487572A |
Solo or small practice. No other active providers share this practice address in NPPES.
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