NPI age
18 years
Enumerated 2007-07-31
Across 1881 active specialist providers in Georgia.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4391200 | AETNA |
| 05 (GA) | 000352778B |
Multi-provider organization. 7 individual providers on file at this primary address.
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