NPI age
19 years
Enumerated 2006-07-27
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 695051329A | |
| 01 (GA) | P01338529 | RAILROAD MEDICARE |
| 01 (GA) | 202I071208 | MEDICARE PTAN |
| 05 (GA) | 695051329C |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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