NPI age
19 years
Enumerated 2006-07-05
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10057091 | AMERIGROUP |
| 01 (SC) | 424 | LICENSE |
| 01 (GA) | CH0654 | RR MEDICARE GROUP PIN |
| 05 (GA) | 00680061A | |
| 01 (GA) | 336952 | WELLCARE |
| 05 (SC) | G25973 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →