NPI age
19 years
Enumerated 2006-08-01
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 155005585B | MEDICAID QC |
| 01 (GA) | 155005585C | MEDICAID PCN |
| 01 (GA) | 511I080261 | MEDICARE PIN PCN |
| 01 (GA) | 056212 | GEORGIA LICENSE |
| 01 (GA) | 511I080260 | MEDICARE PIN QUICK CARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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