NPI age
19 years
Enumerated 2007-02-13
Across 267 active obstetrics & gynecology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 034161 | LICENSE |
| 05 (GA) | 00470874B |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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