NPI age
18 years
Enumerated 2008-03-12
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 123040 | |
| 01 (AL) | 511-07142 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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