NPI age
19 years
Enumerated 2006-06-07
Across 1024 active hospitalist providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 130392200 | |
| 05 (GA) | 300034164A | |
| 01 (GA) | GRP3569 | OPT-OUT |
| 05 (GA) | 000858107C | |
| 01 (GA) | 11D0984976 | CLIA |
Part of a multi-provider practice. 128 other active providers share this practice address in NPPES.
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