NPI age
19 years
Enumerated 2006-08-11
Across 5448 active family medicine providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52407006 | BLUE CROSS BLUE SHIELD GA |
| 05 (GA) | 10053757 | |
| 01 (GA) | GRP2665 | EMPLOYER ID |
| 05 (GA) | 000324156I |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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