NPI age
12 years
Enumerated 2014-04-25
Across 5448 active family medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202G702594 | MEDICARE GROUP PTAN |
Multi-provider organization. 1 individual provider on file at this primary address.
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