NPI age
6 years
Enumerated 2020-03-26
Across 2726 active pediatrics providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003239914D | |
| 05 (GA) | 003239914E | |
| 01 (GA) | G39299A | MEDICARE |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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