NPI age
19 years
Enumerated 2006-06-12
Across 5448 active family medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000320526G | |
| 05 (GA) | 000320526H | |
| 01 (GA) | P00282948 | RAILROAD MEDICARE |
| 05 (GA) | 000320526F | |
| 01 (TN) | 4130194 | BCBS OF TENNESSEE |
Solo or small practice. No other active providers share this practice address in NPPES.
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