NPI age
19 years
Enumerated 2006-09-04
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00239346B | |
| 01 | 0031087-001 | CIGNA PROVIDER NUMBER |
| 01 (GA) | 110003691 | RAILROAD MEDICARE |
| 01 (GA) | 022020 | BCBS PROVIDER NUMBER |
| 01 (AL) | 009980570 | ALABAMA MEDICAID |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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