NPI age
13 years
Enumerated 2012-05-30
Across 1151 active orthopaedic surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 1497016034 | |
| 05 (SC) | NC3012 | |
| 01 (NC) | 2017-00691 | MEDICAL LICENSE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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