NPI age
18 years
Enumerated 2007-11-28
Across 1881 active specialist providers in Georgia.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1386749117 | NPI |
| 01 | 1114017449 | NPI |
Multi-provider organization. 4 individual providers on file at this primary address.
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