NPI age
20 years
Enumerated 2006-05-08
Across 462 active clinic/center providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89014RK | |
| 05 (SC) | GPA868 |
Multi-provider organization. 20 individual providers on file at this primary address.
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