NPI age
19 years
Enumerated 2006-06-21
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000468806C | |
| 05 (GA) | 000468806D | |
| 05 (GA) | 000468806J | |
| 05 (GA) | G27107 | |
| 05 (GA) | 000468806H | |
| 01 (GA) | 10058861 | AMERIGROUP |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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