NPI age
19 years
Enumerated 2006-06-26
Across 268 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000457542E | |
| 05 (SC) | G30388 | |
| 05 (GA) | 00457542C |
Part of a multi-provider practice. 71 other active providers share this practice address in NPPES.
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