NPI age
20 years
Enumerated 2006-01-18
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | P00437866 | RR MEDICARE # |
| 05 (MO) | 202888913 | |
| 05 (AR) | 119001001 | |
| 05 (GA) | 000531924AD |
Part of a multi-provider practice. 238 other active providers share this practice address in NPPES.
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