NPI age
20 years
Enumerated 2006-01-17
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000270773A | |
| 01 (GA) | 345974 | WELLCARE |
| 01 (GA) | 581267100 | TRICARE |
| 01 (GA) | 26101 | BCBS |
Part of a multi-provider practice. 171 other active providers share this practice address in NPPES.
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