NPI age
20 years
Enumerated 2005-12-22
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 820686829A | |
| 05 (GA) | 820686829B |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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