NPI age
11 years
Enumerated 2014-10-22
Across 84 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 450094819E | |
| 01 | 202I164160 | WELLCARE PTAN |
| 01 (GA) | 569399 | WELLCARE |
Single-site organization. Only one practice location on file.
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