NPI age
19 years
Enumerated 2006-08-15
Across 5448 active family medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DF0800 | RAILROAD MEDICARE GROUP # |
| 01 (GA) | GRP 7804 | MEDICARE GROUP NUMBER |
| 05 (GA) | 701989215A |
Multi-provider organization. 1 individual provider on file at this primary address.
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