NPI age
20 years
Enumerated 2006-05-10
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 30BDMZC | MEDICARE ID |
| 05 (GA) | 611855356 |
Part of a multi-provider practice. 100 other active providers share this practice address in NPPES.
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