NPI age
19 years
Enumerated 2006-11-13
Across 526 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 9179576 | WELLCARE PROVIDER # |
| 01 (GA) | 100747 | PEACHSTATE PROVIDER # |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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