NPI age
14 years
Enumerated 2012-05-20
Across 2449 active community/behavioral health providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 899829779A | |
| 01 (GA) | 1982688198 | INDIVIDUAL NPI NUMBER |
Multi-provider organization. 1 individual provider on file at this primary address.
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