NPI age
18 years
Enumerated 2008-03-05
Across 526 active eyewear supplier providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 5350040001 | PTAN MEDICARE NSC |
| 05 (GA) | 793136480A |
Single-site organization. Only one practice location on file.
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