NPI age
20 years
Enumerated 2006-04-26
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 278840 | B/C B/S |
| 01 (GA) | 4839436-003 | CIGNA |
| 05 (GA) | 00429459A |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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