NPI age
19 years
Enumerated 2007-01-17
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 5900993 | |
| 01 (NC) | P00281577 | MEDICARE RR |
| 01 (NC) | 139N5 | BCBS NC |
Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.
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