NPI age
20 years
Enumerated 2006-05-02
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 10108454 | |
| 05 (VA) | 10234646 | |
| 05 (VA) | 10145783 | |
| 05 (VA) | 10145741 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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