NPI age
19 years
Enumerated 2006-10-23
Across 5448 active family medicine providers in Georgia.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 188566 | BLUE CROSS-GROUP |
| 05 (GA) | 300023240A | |
| 01 (GA) | 11DO266342 | CLIA LAB NUMBER |
Multi-provider organization. 11 individual providers on file at this primary address.
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