NPI age
20 years
Enumerated 2005-08-31
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 0528884 | AETNA |
| 01 (GA) | 080059350 | RAILROAD MEDICARE |
| 01 (GA) | 151303 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00247035A1 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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