NPI age
19 years
Enumerated 2006-07-03
Across 268 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 000027366 | |
| 01 (AL) | 770000637 | RAILROAD MEDICARE |
| 01 (AL) | E92967 | VIVA |
| 01 (AL) | 000027366 | BLUE CROSS |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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