NPI age
15 years
Enumerated 2011-04-20
Across 489 active physical medicine & rehabilitation providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300022345A |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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