NPI age
19 years
Enumerated 2006-06-06
Across 89 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MD) | 403588700 | |
| 05 (PA) | 1008314420001 | |
| 05 (NC) | 89066FT | |
| 05 (VA) | 006739580 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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