NPI age
18 years
Enumerated 2007-06-19
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 283638770C | |
| 05 (GA) | 283638770B |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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