NPI age
19 years
Enumerated 2007-04-20
Across 489 active physical medicine & rehabilitation providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 561121199F | |
| 05 (GA) | 561121199C | |
| 05 (GA) | 561121199D |
Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.
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