NPI age
15 years
Enumerated 2010-06-15
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003137166B | |
| 05 (GA) | 003137166C | |
| 05 (AL) | 160719 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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