NPI age
18 years
Enumerated 2007-10-16
Across 730 active clinic/center providers in Georgia.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 110229622 | MEDICARE R/R |
| 01 (GA) | GRP3465 | MEDICARE GROUP NO. |
| 01 (GA) | 11BDQPM | MEDICARE |
| 05 (GA) | 00804339D |
Multi-provider organization. 5 individual providers on file at this primary address.
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