NPI age
20 years
Enumerated 2005-10-05
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 847406400A | PEACH STATE HEALTH PLAN |
| 05 (GA) | 847406400D | |
| 05 (GA) | 847406400A | |
| 05 (GA) | 847406400C | |
| 01 (GA) | 314296 | WELLCARE MEDICAID |
| 01 (GA) | 7915649 | AETNA |
| 01 (GA) | 10039291 | AMERIGROUP, MEDICAID |
| 01 (GA) | 847406400D | PEACH STATE HEALTH PLAN |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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