NPI age
19 years
Enumerated 2007-05-23
Across 187 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003161386A | |
| 05 (TX) | 213538601 |
Part of a multi-provider practice. 153 other active providers share this practice address in NPPES.
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