NPI age
13 years
Enumerated 2013-04-15
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 10039791 | |
| 05 (GA) | 317911 | |
| 05 (GA) | 317912 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of East Metro Primary Care.
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