NPI age
19 years
Enumerated 2007-03-01
Across 807 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003774426B | |
| 01 (GA) | GRP6512 | MEDICARE GROUP PIN |
| 01 (GA) | 180038596 | RR MEDICARE |
| 05 (GA) | REF000035775 | |
| 01 (GA) | 1336277151 | GROUP NPI |
| 01 (GA) | 028061 | MEDICAL LICENSE NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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