NPI age
20 years
Enumerated 2005-12-23
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000880085E | |
| 05 (SC) | G46250 | |
| 05 (GA) | 000880085D |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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