NPI age
12 years
Enumerated 2014-02-20
Across 196 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 07BBSST | MEDICARE ID |
| 01 (GA) | 202I075875 | MEDICARE PTAN |
| 01 (GA) | 070016848 | MEDICARE RAILROAD |
Single-site organization. Only one practice location on file.
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