NPI age
9 years
Enumerated 2016-08-12
Across 133 active clinic/center providers in Georgia.
10 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1730632290 | NPPES INDIVIDUAL |
Multi-provider organization. 10 individual providers on file at this primary address.
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