NPI age
19 years
Enumerated 2006-08-31
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 661528293A | |
| 05 (SC) | G52914 | |
| 05 (GA) | 661528293B | |
| 01 (GA) | P00331675 | MEDICARE RAILROAD |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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