NPI age
20 years
Enumerated 2005-08-30
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00416446A | |
| 01 (GA) | 52047422-001 | BLUE CROSS BLUE SHIELD PR |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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