NPI age
20 years
Enumerated 2006-05-19
Across 1893 active obstetrics & gynecology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4312509 | BCBS TN |
| 01 (GA) | 057391 | MEDICAL LICENSE |
| 01 (IL) | 3612022737 | MEDICAL LICENSE |
| 01 (TN) | 37420 | MEDICAL LICENSE |
Part of a multi-provider practice. 448 other active providers share this practice address in NPPES.
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