NPI age
18 years
Enumerated 2008-03-09
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | C09633 | GROUP PTAN |
| 01 (VA) | C05698 | GROUP PTAN |
| 01 (VA) | C06778 | GROUP PTAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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