NPI age
19 years
Enumerated 2006-10-08
Across 1881 active specialist providers in Georgia.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000703249F | |
| 01 (GA) | 75325 | BCBS |
| 01 (GA) | 2327205 | AETNA |
| 05 (GA) | 312419 | |
| 01 (GA) | 4717925 | CIGNA |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 8 individual providers on file at this primary address.
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