NPI age
20 years
Enumerated 2005-11-07
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89132PW | |
| 05 (NC) | 1215918388 | |
| 01 (NC) | 132PW | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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