NPI age
20 years
Enumerated 2006-03-23
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000193179K | |
| 05 (TN) | 4048222 | |
| 05 (GA) | 00193179J | |
| 01 (GA) | 01160889 | AMERIGROUP |
| 01 (GA) | 52023332 | BCBS GA |
| 05 (GA) | 000193179L | |
| 05 (GA) | 000193179M | |
| 01 (TN) | 4186949 | BCBS TN |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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