NPI age
20 years
Enumerated 2005-09-14
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 00616635A | PEACHSTATE |
| 01 (GA) | 591087 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00616635A | |
| 01 (GA) | 220013301 | RAILROAD MEDICARE |
| 01 (GA) | 00616635A | WELLCARE |
Part of a multi-provider practice. 211 other active providers share this practice address in NPPES.
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