NPI age
19 years
Enumerated 2006-09-27
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52821047 | BCBS PROVIDER NUMBER |
| 01 (GA) | 5197 | SOUTHCARE PROVIDER NUMBER |
| 05 (GA) | 00862166A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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