NPI age
20 years
Enumerated 2005-06-02
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 3003042 | TENNCARE SELECT |
| 01 (GA) | 456399 | WELLCARE |
| 05 (GA) | 00486098D | |
| 05 (NC) | 890640R | |
| 01 (TN) | 3003042 | BCBS |
| 01 (GA) | GA0101 | AMERICHOICE EAST TENNCARE |
| 01 (GA) | 071095 | BCBS |
| 05 (TN) | 3883955 |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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