NPI age
18 years
Enumerated 2007-11-06
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP6702 | MEDICARE GROUP NUMBER ASS |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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