NPI age
20 years
Enumerated 2006-05-05
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 04BDCBQ | MEDICARE PTAN |
| 05 (AL) | 114089 | |
| 05 (GA) | 000870207 |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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