NPI age
9 years
Enumerated 2016-08-05
Across 399 active specialist/technologist, other providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 00000000 | CIGNA. BLUE CROSS, BLUE SHIELD, AETNA |
| 01 (GA) | 4847 | CERTIFICATION |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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