NPI age
5 years
Enumerated 2020-11-19
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 00302089 | |
| 05 (GA) | 423317390C |
Single-site organization. Only one practice location on file.
Subpart of Viral Vigilance, Llc.
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