NPI age
20 years
Enumerated 2006-05-22
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 983802 | BLUE CORSS/BLUE SHIELD # |
| 01 (GA) | 057098 | GA MEDICAL LICENSE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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