NPI age
20 years
Enumerated 2005-09-22
Across 1280 active radiology providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | G53246 | |
| 01 (GA) | N343827 | WELLCARE |
| 05 (GA) | 108709597B | |
| 01 (GA) | 52703766002 | BCBS |
| 01 (GA) | 108709597B | PEACH STATE HEALTH PLAN |
| 01 (GA) | P00269230 | RAILROAD MEDICARE |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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