NPI age
20 years
Enumerated 2006-04-03
Across 563 active urology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | REF906223411 | MEDICAID REFERENCE NUMBER |
| 05 (GA) | 875799007B |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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