NPI age
18 years
Enumerated 2008-01-25
Across 1389 active surgery providers in Georgia.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003126782N | |
| 05 (GA) | 003126782A | |
| 01 (GA) | 01994631 | AMERIGROUP |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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