NPI age
13 years
Enumerated 2012-06-19
Across 54 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 19XB3 | BCBS OF NC |
| 01 (NC) | NN37980322 | MEDICARE |
| 05 (NC) | 1205199700 |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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