NPI age
19 years
Enumerated 2006-07-25
Across 1389 active surgery providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 046230104 | |
| 05 (TX) | 046230105 | |
| 05 (TX) | 046230106 | |
| 05 (WI) | 100217995 |
Solo or small practice. No other active providers share this practice address in NPPES.
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