NPI age
20 years
Enumerated 2006-04-10
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000624599D | |
| 01 (GA) | 336122 | WELLCARE |
| 01 (GA) | 800790 | BLUE SHIELD |
| 01 (GA) | 000624599D | PEACH STATE HEALTH PLAN |
| 01 (GA) | DE0736 | RAILROAD MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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