NPI age
19 years
Enumerated 2007-05-11
Across 5448 active family medicine providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 170591 | WELLCARE OF GEORGIA |
| 05 (GA) | 043644539A | |
| 01 (GA) | 275410 | PEACH STATE HEALTH PLAN |
| 01 (GA) | 52070342 | BLUE CROSS BLUE SHIELD OF |
Multi-provider organization. 3 individual providers on file at this primary address.
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