NPI age
20 years
Enumerated 2005-12-15
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 022167194A | |
| 05 (SC) | G25499 | |
| 05 (GA) | 000302684A |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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