NPI age
20 years
Enumerated 2005-12-08
Across 563 active urology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00133207A | |
| 01 (GA) | 339984 | WELLCARE |
| 01 (GA) | 10057865 | AMERIGROUP |
| 01 (GA) | 024624 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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