NPI age
18 years
Enumerated 2007-06-13
Across 1881 active specialist providers in Georgia.
10 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP7624 | MEDICARE |
| 01 (GA) | 1922198647 | INDIVIDUAL NPI |
Multi-provider organization. 10 individual providers on file at this primary address.
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