NPI age
18 years
Enumerated 2008-01-31
Across 125 active pain medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I053426 | MEDICARE PTAN |
| 05 (GA) | 365137301 | |
| 05 (AL) | 123037 |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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