NPI age
19 years
Enumerated 2006-08-03
Across 95 active clinic/center providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003185983A | |
| 05 (GA) | 003186608A | |
| 05 (GA) | 00051961K | |
| 05 (GA) | 000733224A |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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