NPI age
19 years
Enumerated 2006-08-25
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 043644539A | MEDICAID |
| 01 (GA) | 170591 | WELLCARE |
| 01 (GA) | 002243 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 109050 | PEACH STATE HEALTH PLAN |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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