NPI age
19 years
Enumerated 2006-11-09
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00112032D | |
| 01 (NC) | 200400698 | STATE LIC |
| 01 (GA) | 581160821 | TAX ID |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →