NPI age
17 years
Enumerated 2008-11-05
Across 13 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I189735 | MEDICARE PTAN |
| 05 (GA) | 00312691B |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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