NPI age
18 years
Enumerated 2007-07-02
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11625808 | CAQH |
| 01 (GA) | 10062814 | AMERIGROUP |
| 01 (GA) | 344048 | WELLCARE |
Single-site organization. Only one practice location on file.
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