NPI age
20 years
Enumerated 2006-05-20
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1316991870 | NPI |
| 01 | CE0006 | RR MEDICARE |
| 01 (OH) | 000000185128 | UNISON MEDICAID |
| 01 | 001714142 | MOUNTAIN STATE BC/BS |
| 01 (OH) | 0834271 | MOLINA MEDICAID |
| 01 | 000000251326 | ANTHEM BC/BS |
| 05 (WV) | 2003178000 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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