NPI age
18 years
Enumerated 2008-03-19
Across 30 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 090074158A | |
| 01 (GA) | 460052 | WELLCARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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