NPI age
19 years
Enumerated 2006-06-14
Across 18 active ophthalmology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 2018-02815 | NORTH CAROLINA MEDICAL BOARD |
| 01 (GA) | 81762 | GEORGIA COMPOSITE MEDICAL BOARD |
| 01 (FL) | ME-85745 | FLORIDA DEPARTMENT OF HEALTH |
Solo or small practice. No other active providers share this practice address in NPPES.
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