NPI age
20 years
Enumerated 2006-04-13
Across 196 active anesthesiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 141512294A | |
| 01 (GA) | 511I090013 | MEDICARE PTAN |
| 01 (GA) | 52261875-001 | BCBSGA |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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