NPI age
20 years
Enumerated 2005-11-02
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 045861129A | |
| 05 (GA) | 045861129D | |
| 01 (GA) | 302573 | WELLCARE |
| 01 (GA) | 302574 | WELLCARE |
| 01 (GA) | 302575 | WELLCARE |
| 01 (GA) | 52887377 | BCBS |
| 05 (GA) | 045861129B | |
| 01 (GA) | 1202041 | UNITED HEALTHCARE |
| 05 (GA) | 045861129G | |
| 05 (GA) | 045861129F | |
| 01 (GA) | 3027877 | CIGNA |
| 01 (GA) | 7154125 | AETNA |
| 05 (GA) | 045861129C | |
| 01 (GA) | 10032997 | AMERIGROUP |
| 01 (GA) | 302570 | WELLCARE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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