NPI age
18 years
Enumerated 2007-06-12
Across 489 active physical medicine & rehabilitation providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 12274814 | CAQH NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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