NPI age
14 years
Enumerated 2011-07-01
Across 2726 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 08431337 | |
| 05 (AL) | 180328 |
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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