NPI age
19 years
Enumerated 2007-01-23
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 894388589A | |
| 05 (GA) | 488115200A | |
| 01 (GA) | 837002 | BCBS |
| 01 (GA) | 7134351 | AETNA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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