NPI age
19 years
Enumerated 2006-10-10
Across 1893 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | D00406095A | |
| 01 | 118352 | BCBS |
| 01 | 1386732048 | NPI |
Solo or small practice. No other active providers share this practice address in NPPES.
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