NPI age
19 years
Enumerated 2006-06-15
Across 1024 active hospitalist providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 2672788422E | |
| 01 (GA) | 52198300 | BCBS OF GA |
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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