NPI age
19 years
Enumerated 2006-12-19
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 20208I1192 | MEDICARE PTAN |
| 05 (GA) | 951472172E | |
| 05 (IA) | 1735647 |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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