NPI age
19 years
Enumerated 2006-12-05
Across 1678 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 209235687A | |
| 01 (GA) | 300766339 | MAGELLAN |
| 01 (GA) | 52624445 006 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 3503338 | AETNA |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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