NPI age
19 years
Enumerated 2006-07-14
Across 1881 active specialist providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 49-05588 | UNITED FACILITY ID |
| 05 (GA) | 00861682A | |
| 01 (GA) | 51004393 | STATE HEALTH BENEFIT ID |
| 01 (GA) | 51004393 | BCBS FACILITY ID |
Multi-provider organization. 20 individual providers on file at this primary address.
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