NPI age
17 years
Enumerated 2009-05-14
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000373997A | |
| 01 | 1808541 | CIGNA |
| 01 (GA) | 479327 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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