NPI age
16 years
Enumerated 2010-03-26
Across 343 active public health or welfare providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000051862B | |
| 01 (GA) | FLU233 | MEDICARE ID |
| 05 (GA) | 000456497D | |
| 05 (GA) | 000456497N | |
| 05 (GA) | 000654376C |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 3 individual providers on file at this primary address.
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