NPI age
20 years
Enumerated 2006-01-18
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52581168 | BCBS |
| 01 (GA) | 756400 | WELLCARE |
| 01 (GA) | 302389 | WELLCARE |
| 05 (GA) | 000707176A | |
| 05 (GA) | 000707176C | |
| 05 (GA) | 000707176B | |
| 01 (GA) | 2031816 | AETNA HMO |
| 01 (GA) | 302374 | WELLCARE |
| 01 (GA) | 302381 | WELLCARE |
| 01 (GA) | 302388 | WELLCARE |
| 01 (GA) | 5363212 | AETNA PPO |
| 01 (GA) | 5486464 | CIGNA |
| 05 (GA) | 000707176D | |
| 01 (GA) | 1200031 | UNITED HEALTHCARE |
| 01 (GA) | 10032963 | AMERIGROUP |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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