NPI age
20 years
Enumerated 2005-11-30
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89066VF | |
| 01 | 26465621 | TRICARE SOUTH |
| 05 (TN) | 3307791 | |
| 05 (GA) | 197568594B | |
| 01 | P00040221 | RAILROAD MEDICARE |
| 01 (GA) | P00927672 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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