NPI age
20 years
Enumerated 2006-03-14
Across 52 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 075345 | BLUE CHOICE FAC |
| 01 | 2106202004 | CIGNA |
| 01 | 5681456 | AETNA PPO |
| 01 | 1433162 | UNITED HEALTH CARE |
| 01 | 52507534010 | BLUE CHOICE PROVIDER ID |
| 01 | 2134874 | AETNA HMO |
| 05 (GA) | 00715349G | |
| 01 | 1786 | KAISER |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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