NPI age
20 years
Enumerated 2006-01-05
Across 29 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 86080015085259A972 | TRIWEST |
| 01 (AZ) | P00231283 | RAILROAD MEDICARE |
| 05 (AZ) | 894057 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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