NPI age
20 years
Enumerated 2006-05-25
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10065391 | AMERIGROUP |
| 01 (GA) | P00286027 | RR MEDICARE |
| 01 (GA) | 349829 | WELLCARE |
| 05 (SC) | G55700 | |
| 05 (GA) | 435245270E | |
| 01 (GA) | 52171977-006 | BCBS |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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