NPI age
20 years
Enumerated 2005-07-28
Across 1893 active obstetrics & gynecology providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 541411884 | |
| 01 | 58-1397572 | TAX ID |
Part of a multi-provider practice. 122 other active providers share this practice address in NPPES.
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