NPI age
19 years
Enumerated 2006-08-27
Across 1389 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 643347625C | |
| 05 (GA) | 643347625D | |
| 05 (GA) | 643347625A | |
| 05 (GA) | 643347625B |
Part of a multi-provider practice. 52 other active providers share this practice address in NPPES.
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