NPI age
11 years
Enumerated 2015-04-16
Across 337 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000635115E | |
| 01 (GA) | 2084P08000X | TAXONOMY |
| 05 (GA) | 00635115D | |
| 01 (GA) | 1285707455 | NPI |
Single-site organization. Only one practice location on file.
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