NPI age
20 years
Enumerated 2005-10-11
Across 2726 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 2324845 | AETNA |
| 05 (FL) | 371653800 | |
| 01 (FL) | 193317 | STAYWELL |
| 01 (FL) | 593618517 | UNITED HEALTH CARE |
| 01 (FL) | 193317 | HEALTHEASE |
| 01 (FL) | 25600 | AVMED |
| 01 (FL) | 23670 | BLUE CROSS AND BLUE SHIEL |
| 01 (FL) | 593618517 | HUMANA |
| 01 (FL) | 419864003 | CIGNA |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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