NPI age
19 years
Enumerated 2006-07-24
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000413553D | |
| 05 (GA) | 000413553F | |
| 01 (GA) | 52570824-004 | BCBS ID |
| 05 (GA) | 000413553E | |
| 05 (GA) | 000413553G |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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