NPI age
20 years
Enumerated 2006-05-02
Across 267 active obstetrics & gynecology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 16BBBSP | MEDICARE ID/105 COLLIER ROAD SUITE 1010 |
| 01 (GA) | DA6300 | MEDICARE RAILROAD PIN |
| 05 (GA) | 00800148A | |
| 01 (GA) | 45895 | GA. MED. LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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