NPI age
19 years
Enumerated 2006-07-08
Across 563 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1645991 | |
| 05 (GA) | 000643189A | |
| 05 (AL) | COL2600D |
Single-site organization. Only one practice location on file.
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