NPI age
18 years
Enumerated 2008-03-28
Across 1151 active orthopaedic surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 2015017078 | MISSOURI DIVISION OF PROFESSIONAL REGISTRATION |
| 01 (TX) | T9647 | TEXAS STATE MEDICAL BOARD |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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