NPI age
20 years
Enumerated 2005-09-07
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00454429A | |
| 01 (GA) | P00882629 | RR MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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