NPI age
20 years
Enumerated 2006-01-13
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 299904569A | |
| 01 (GA) | 5258684002 | BCBS |
| 01 (GA) | 337958 | WELLCARE |
| 05 (SC) | G43544 | |
| 01 (GA) | 10058435 | AMERIGROUP |
| 01 (GA) | 58-146543-001 | TRICARE |
Part of a multi-provider practice. 266 other active providers share this practice address in NPPES.
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