NPI age
18 years
Enumerated 2007-09-05
Across 17 active medical genetics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0315177 | |
| 01 (OH) | H669240 | CGS-MEDICARE |
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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