NPI age
19 years
Enumerated 2006-06-27
Across 42 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000325091B | |
| 05 (SC) | G28044 |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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