NPI age
19 years
Enumerated 2006-06-06
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3801292 | |
| 01 (TN) | P00297047 | MEDICARE RAILROAD |
| 01 (TN) | 4152426 | BLUE CROSS |
| 01 (TN) | 40218 | TLC TENNCARE |
| 05 (TN) | 3801293 | |
| 01 (TN) | 4031705 | BLUE CROSS |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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