NPI age
10 years
Enumerated 2015-07-16
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 80633 | MD LICENSE |
| 05 (GA) | 003165795D |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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