NPI age
20 years
Enumerated 2006-05-18
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 111825 | UGS-SANDERSVILLE |
| 01 (GA) | 025298 | PROVIDER STATE LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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