NPI age
18 years
Enumerated 2007-09-25
Across 2449 active community/behavioral health providers in Georgia.
1 secondary location on file with NPPES.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000604469E |
Multi-provider organization. 4 individual providers on file at this primary address. Plus 1 secondary practice location.
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