NPI age
20 years
Enumerated 2006-01-23
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52887375 | BCBS |
| 05 (GA) | 716964757E | |
| 01 (GA) | 302584 | WELLCARE |
| 05 (GA) | 716964757D | |
| 01 (GA) | 2380879 | CIGNA |
| 01 (GA) | 302585 | WELLCARE |
| 01 (GA) | 531457 | WELLCARE |
| 01 (GA) | 7747589 | AETNA |
| 01 (GA) | 1201908 | UNITED HEALTHCARE |
| 01 (GA) | 302583 | WELLCARE |
| 05 (GA) | 716964757A | |
| 05 (GA) | 716964757B | |
| 01 (GA) | 10033004 | AMERIGROUP |
| 01 (GA) | 302582 | WELLCARE |
| 05 (GA) | 716964757C |
Solo or small practice. No other active providers share this practice address in NPPES.
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