NPI age
20 years
Enumerated 2005-06-30
Across 489 active physical medicine & rehabilitation providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00774012C | |
| 01 (GA) | 216760 | BCBS |
| 05 (SC) | G44834 | |
| 01 | 5590519 | AETNA |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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