NPI age
19 years
Enumerated 2006-07-07
Across 36 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003136101C | |
| 05 (LA) | 1367567 |
Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.
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