NPI age
19 years
Enumerated 2006-10-03
Across 1893 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 202I164160 | MEDICARE PTAN |
| 01 (GA) | 569399 | WELLCARE |
| 05 (GA) | 450094819E |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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