NPI age
19 years
Enumerated 2007-01-09
Across 5448 active family medicine providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10045920 | AMERIA GROUP |
| 01 (GA) | 336339 | WELLCARE |
| 01 (GA) | 4037911 | BCBS |
| 01 (GA) | 080173185 | MEDICARE RR |
| 01 (GA) | 439513009 | CHAMPUS |
| 05 (GA) | 000912656A | |
| 01 (GA) | 89064KT | NC MEDICAID |
Multi-provider organization. 2 individual providers on file at this primary address.
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