NPI age
20 years
Enumerated 2005-12-20
Across 23 active home infusion providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | DE1191 | |
| 01 (GA) | 52064755001 | BC/BS PROVIDER ID |
| 01 | 5962021 | AETNA PROVIDER ID |
| 05 (GA) | 00493688B | |
| 05 (SC) | 7G7370 |
Single-site organization. Only one practice location on file.
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