NPI age
18 years
Enumerated 2007-06-01
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 026269000 | |
| 05 (GA) | 003127181I |
Part of a multi-provider practice. 117 other active providers share this practice address in NPPES.
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