NPI age
19 years
Enumerated 2007-04-17
Across 2449 active community/behavioral health providers in Georgia.
5 secondary locations on file with NPPES.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 684485156A | |
| 01 | 7680934 | AETNA |
| 01 | 600073520 | MAGELLAN |
Multi-provider organization. 5 individual providers on file at this primary address. Plus 5 secondary practice locations.
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