NPI age
19 years
Enumerated 2006-10-26
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (DC) | 030548600 | |
| 05 (MD) | 250001902 | |
| 05 (VA) | 010202639 |
Part of a multi-provider practice. 74 other active providers share this practice address in NPPES.
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