NPI age
18 years
Enumerated 2007-09-25
Across 26 active clinic/center providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 012454464B | |
| 05 (GA) | 000708463E | |
| 05 (GA) | 478159310B | |
| 05 (GA) | 385626610C |
Multi-provider organization. 3 individual providers on file at this primary address.
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