NPI age
20 years
Enumerated 2006-05-10
Across 462 active clinic/center providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 054797 | PROVIDER MEDICAL ID |
| 05 (GA) | 00521023A |
Multi-provider organization. 2 individual providers on file at this primary address.
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