NPI age
20 years
Enumerated 2005-08-09
Across 807 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000904978F | |
| 05 (AL) | 009932924 | |
| 01 (GA) | 2090360 | FIRST HEALTH |
| 01 (GA) | 52187883-001 | BCBSGA |
| 01 (GA) | 610604700 | OWCP DOL |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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