NPI age
19 years
Enumerated 2006-12-01
Across 77 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 184422702 | CIDC |
| 05 (TX) | 184422701 | |
| 05 (GA) | 003126221I |
Part of a multi-provider practice. 435 other active providers share this practice address in NPPES.
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