NPI age
20 years
Enumerated 2006-05-19
Across 462 active clinic/center providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10057286 | AMERIGROUP (GA MEDICAID) |
| 01 (GA) | 336412 | WELLCARE (GA MEDICAID MCO |
| 05 (GA) | 000211956A |
Multi-provider organization. 20 individual providers on file at this primary address.
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