NPI age
19 years
Enumerated 2006-08-27
Across 85 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | BN013259 | BC/BS OF MICHIGAN |
| 05 (MI) | 114759640 |
Solo or small practice. No other active providers share this practice address in NPPES.
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