NPI age
20 years
Enumerated 2006-05-01
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52636051-004 | BC/BS ID |
| 01 (GA) | 565113 | AETNA HMO |
| 01 (GA) | 5647403 | AETNA PPO ID |
| 05 (GA) | 00744961D | |
| 01 (GA) | 020042822 | RAILROAD MEDICARE ID |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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