NPI age
19 years
Enumerated 2007-02-06
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10045520 | CMO AMERIGROUP |
| 01 (GA) | 743718-000 | CMO- MAGELLAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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