NPI age
20 years
Enumerated 2006-05-04
Across 94 active colon & rectal surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000779798G | |
| 01 | 2064 | KAISER |
| 01 | 5890788 | AETNA NON HMO |
| 01 | 1452874 | UNITED HEALTHCARE |
| 01 | 6665545007 | CIGNA HMO |
| 05 (AL) | 009936605 | |
| 01 | 2187122 | AETNA HMO |
| 05 (GA) | 00779798A | |
| 01 | 52664848 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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