NPI age
12 years
Enumerated 2014-04-28
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 5101021173 | OSTEOPATHIC MEDICINE AND SURGERY PHYSICIAN LICENSE NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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