NPI age
11 years
Enumerated 2014-07-21
Across 655 active clinic/center providers in Georgia.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 051518001 | MEDICARE PROVIDER NUMBER |
| 05 (AL) | 009932265 | |
| 01 | 1295774305 | PERSONAL NPI NUMBER |
Multi-provider organization. 4 individual providers on file at this primary address.
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