NPI age
18 years
Enumerated 2007-06-29
Across 1151 active orthopaedic surgery providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003148201A | |
| 01 (GA) | 072142 | MEDICAL LICENSE |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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