NPI age
19 years
Enumerated 2006-11-01
Across 1530 active anesthesiologist assistant providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 329014970B | |
| 01 (GA) | 394640 | WELLCARE |
| 01 (GA) | P00413154 | RAILROAD MEDICARE |
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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