NPI age
20 years
Enumerated 2006-03-20
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003119527A | |
| 05 (WV) | 3810001228 | |
| 05 (VA) | 010127360 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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