NPI age
20 years
Enumerated 2006-04-25
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 51112487 | BCBS NEW ISSUE |
| 05 (GA) | 000044337A |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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