NPI age
19 years
Enumerated 2007-01-09
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000526578C | |
| 05 (GA) | 000526578B | |
| 01 (GA) | 080164682 | RR MEDICARE |
| 01 (GA) | CH5121 | RR MEDICARE GROUP ID |
| 01 (GA) | GRP3905 | GA MEDICARE GROUP ID |
| 05 (SC) | G26106 | |
| 01 | 582162071-014 | HMHS/TRICARE SOUTH |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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