NPI age
19 years
Enumerated 2006-12-13
Across 602 active clinic/center providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 7300002 | AETNA PPO, STANDARD |
| 01 | 10040055 | AMERIGROUP MGD MEDICAID |
| 05 (SC) | ASC020 | |
| 01 | 2189908 | AETNA HMO |
| 01 | 324827 | WELLCARE MANAGED MEDICAID |
| 05 (GA) | 00830101A |
Multi-provider organization. 2 individual providers on file at this primary address.
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