NPI age
17 years
Enumerated 2009-04-13
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202G708679 | MEDICARE PTAN |
| 05 (GA) | 003159653A |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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