NPI age
20 years
Enumerated 2006-02-27
Across 1151 active orthopaedic surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000861693D | |
| 01 (GA) | 702479 | BCBS |
| 01 (GA) | P00372133 | MEDICARE-RR |
| 01 (GA) | 48063 | STATE LICENSE |
| 05 (GA) | 000861693E | |
| 05 (GA) | 000861693H |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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