NPI age
19 years
Enumerated 2007-01-18
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 329184788A | |
| 01 (GA) | 002628 | BCBS OF GEORGIA |
| 01 (GA) | 10040080 | AMERIGROUP |
| 01 (GA) | 52497628 | BCBS |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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