NPI age
19 years
Enumerated 2007-05-21
Across 2726 active pediatrics providers in Georgia.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000772241B | |
| 01 (GA) | 938526 | BCBS |
Multi-provider organization. 13 individual providers on file at this primary address.
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