NPI age
19 years
Enumerated 2006-06-04
Across 94 active colon & rectal surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000791392A | |
| 05 (SC) | G43383 | |
| 01 (GA) | 10065608 | AMERIGROUP |
| 01 (GA) | 280000998 | RAILROAD MEDICARE |
| 05 (GA) | 000791392C | |
| 05 (GA) | 000791392B | |
| 01 (GA) | 349778 | WELLCARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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