NPI age
1 years
Enumerated 2024-07-23
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 321872 | LICENSE |
| 01 (GA) | 104965 | GA MEDICAL LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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