NPI age
20 years
Enumerated 2006-05-05
Across 393 active technician/technologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | GPA573 | |
| 01 (SC) | 0657850001 | GROUP DMERC NUMBER |
Single-site organization. Only one practice location on file.
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