NPI age
20 years
Enumerated 2006-01-23
Across 188 active thoracic surgery (cardiothoracic vascular surgery) providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MN) | 003983700 | |
| 01 (MN) | P00042740 | RAILROAD MEDICARE |
| 05 (IA) | ENROLLED | |
| 05 (WI) | 35294500 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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