NPI age
19 years
Enumerated 2006-06-15
Across 5448 active family medicine providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000976269B | |
| 05 (GA) | 000976269N | |
| 05 (FL) | 265578100 | |
| 05 (GA) | 000976269C | |
| 05 (GA) | 000976269F | |
| 01 (GA) | 52177219004 | BCBS |
| 05 (GA) | 000976269A | |
| 05 (GA) | 000976269I | |
| 01 (GA) | 051025 | GEORGIA LICENSE NUMBER |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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