NPI age
19 years
Enumerated 2006-07-19
Across 1280 active radiology providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4072958 | BCS OF TN |
| 05 (GA) | 757199790F | |
| 01 (GA) | 52853264-001 | BCBS OF GA |
Multi-provider organization. 1 individual provider on file at this primary address.
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