NPI age
10 years
Enumerated 2015-06-22
Across 1151 active orthopaedic surgery providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 445069401 | |
| 01 (GA) | 101470 | GEORGIA COMPOSITE MEDICAL BOARD - STATE LICENSE |
| 01 (TX) | T8000 | TEXAS MEDICAL BOARD-STATE LICENSE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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