NPI age
19 years
Enumerated 2006-12-13
Across 1487 active psychologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10041075 | AMERIGROUP |
| 05 (GA) | 000627602B | |
| 01 (GA) | 280924000 | MIS NUMBER |
| 01 (GA) | 60007635 | MAGELLAN TIN |
| 01 (GA) | 102890 | CBH PROVIDER NUMBER |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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