NPI age
20 years
Enumerated 2006-01-11
Across 33 active clinic/center providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | ASC010 | MEDICAID |
| 05 (GA) | 00733477A |
Multi-provider organization. 2 individual providers on file at this primary address.
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