NPI age
18 years
Enumerated 2008-04-15
Across 133 active clinic/center providers in Georgia.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003128389A | |
| 05 (CO) | 82022020 |
Multi-provider organization. 6 individual providers on file at this primary address.
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