NPI age
18 years
Enumerated 2008-05-21
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 165EH | BCBS |
| 05 (NC) | 1457518813 |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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