NPI age
20 years
Enumerated 2005-06-13
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 020024468 | RR MEDICARE |
| 01 (GA) | 338041 | WELLCARE |
| 01 (GA) | 52495099 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 000618241A | |
| 01 (GA) | 10045911 | AMERIGROUP |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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