NPI age
20 years
Enumerated 2005-06-08
Across 807 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | PA1603 | |
| 01 (SC) | 1522 | MEDICARE ID |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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