NPI age
8 years
Enumerated 2017-06-05
Across 1405 active specialist/technologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 23-2804 | NBCOT OT-SC |
| 01 (GA) | AT003934 | GA LAT |
| 01 | 2000027759 | NATABOC ATC |
| 01 | 22-0200 | NBCOT OTC |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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