NPI age
20 years
Enumerated 2005-09-08
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 070013957 | RR MEDICARE |
| 05 (GA) | 00777004E |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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