NPI age
20 years
Enumerated 2005-12-01
Across 315 active pain medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | SCF336 | MEDICARE |
| 01 (GA) | G18208C | MEDICARE |
| 05 (GA) | 003231887D | |
| 05 (FL) | 019701200 | |
| 05 (SC) | 821383 | |
| 01 (FL) | IRO56Z | MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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