NPI age
19 years
Enumerated 2006-12-20
Across 2726 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52507116 | BCBS |
| 01 (GA) | 1205990694 | TRICARE STANDARD (SOUTH) |
| 01 (GA) | 7534282 | CIGNA |
| 01 (GA) | 562994 | WELLCARE OF GEORGIA |
| 01 (GA) | 7037841 | AETNA |
| 01 (GA) | 01364310 | AMERIGROUP |
| 05 (GA) | 889794953A |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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