NPI age
20 years
Enumerated 2005-07-13
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000728648G | |
| 05 (GA) | 000728648E | |
| 05 (GA) | 684743111A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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