NPI age
20 years
Enumerated 2005-09-22
Across 1893 active obstetrics & gynecology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00638272B | |
| 01 (NC) | 147GG | BCBS |
| 05 (NC) | 5908040 | |
| 01 (SC) | G38629 | MEDICAID |
| 05 (SC) | G38629 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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