NPI age
20 years
Enumerated 2005-12-02
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 5061659 | AETNA |
| 01 (GA) | 020043265 | RAILROAD MEDICARE |
| 01 (GA) | 30117A005 | CHAMPUS |
| 05 (GA) | 00794989A | |
| 01 (GA) | 727923 | BLUE CROSS |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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