NPI age
16 years
Enumerated 2010-04-16
Across 2726 active pediatrics providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 743298007B | |
| 05 (GA) | 920320381B |
Multi-provider organization. 2 individual providers on file at this primary address.
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