NPI age
19 years
Enumerated 2006-09-03
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00841035G | |
| 01 (GA) | 52782413003 | BC / BS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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