NPI age
20 years
Enumerated 2005-12-01
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 023510 | BLUE SHIELD |
| 01 (GA) | GRP2603 | GROUP MEDICARE # |
| 01 (GA) | 581596796 | TRICARE |
| 05 (GA) | 000286954A | |
| 01 (GA) | 080064654 | RAILROAD MEDICARE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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