NPI age
20 years
Enumerated 2006-01-11
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 581303376 | TRICARE |
| 05 (GA) | 489145971B |
Part of a multi-provider practice. 168 other active providers share this practice address in NPPES.
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