NPI age
19 years
Enumerated 2007-05-24
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003124177G | |
| 05 (GA) | 003124177A |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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