NPI age
19 years
Enumerated 2006-10-12
Across 602 active clinic/center providers in Georgia.
1 secondary location on file with NPPES.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 111228ASCA | MEDICARE GROUP NUMBER |
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
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