NPI age
20 years
Enumerated 2006-01-18
Across 1389 active surgery providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 603854369B | |
| 01 (GA) | 52170731 | BCBS |
| 05 (GA) | 603854369A | |
| 01 (GA) | 10045077 | AMERIGROUP |
| 01 (GA) | 7385826 | AETNA |
| 01 (GA) | P00246474 | RR MEDICARE-GRP # CC4177 |
| 01 (GA) | 8411488 | CIGNA |
| 01 (GA) | 2548303 | UNITED HEALTHCARE |
| 01 (GA) | 340827 | WELLCARE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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