NPI age
19 years
Enumerated 2006-10-10
Across 1893 active obstetrics & gynecology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 138903 | PEACHSTATE |
| 01 (GA) | 700394 | BCBS |
| 05 (GA) | 000741694D | |
| 01 (GA) | DH1281 | RAILROAD MEDICARE - GROUP # |
| 01 (GA) | 040079 | GA LICENSE |
| 01 (GA) | 040079 | MEDICAL LICENSE |
| 01 (GA) | 341191 | WELLCARE OF GA |
| 01 (GA) | P00726008 | RAILROAD MEDICARE - PTAN |
| 01 (GA) | 11D0941435 | CLIA |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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