NPI age
7 years
Enumerated 2018-06-28
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 526620 | |
| 01 (SC) | SCP6317628 | MEDICARE PIN |
Part of a multi-provider practice. 87 other active providers share this practice address in NPPES.
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