NPI age
19 years
Enumerated 2006-12-04
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 264708058B | |
| 01 | 52853385001 | BCBS GA |
| 01 | 339864 | WELLCARE |
| 01 | 4110528 | BCBS TN |
| 05 (GA) | 264708058A | |
| 01 | 100525317 | AMERIGROUP |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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