NPI age
19 years
Enumerated 2006-10-16
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52210113-001 | BCBS GA |
| 05 (GA) | 239541908A | |
| 05 (SC) | G57616 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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