NPI age
11 years
Enumerated 2014-07-04
Across 48 active oral & maxillofacial surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | ZX0432 | |
| 05 (GA) | 003234987B |
Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.
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