NPI age
19 years
Enumerated 2007-05-04
Across 2726 active pediatrics providers in Georgia.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000763199M | |
| 05 (GA) | 000763199E | |
| 05 (GA) | 000763199L | |
| 05 (GA) | 000763199G | |
| 05 (GA) | 000763199J | |
| 05 (GA) | 000763199I | |
| 05 (GA) | 000763199K | |
| 05 (GA) | 000763199H |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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