NPI age
20 years
Enumerated 2006-03-16
Across 563 active urology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000722543F | |
| 01 | 2361088 | AETNA |
| 01 (GA) | P00617411 | RAILROAD MEDICARE |
| 01 | 30533 | TRICARE |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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