NPI age
19 years
Enumerated 2006-07-18
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52206559-001 | BCBS PROVIDER NUMBER |
| 05 (GA) | 922074392A |
Multi-provider organization. 1 individual provider on file at this primary address.
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