NPI age
20 years
Enumerated 2006-01-10
Across 602 active clinic/center providers in Georgia.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | ASC025 | |
| 05 (GA) | 000874794A |
Multi-provider organization. 4 individual providers on file at this primary address.
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