NPI age
15 years
Enumerated 2010-07-06
Across 89 active orthopaedic surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 069875 | MEDICAL LICENSE |
| 01 (AL) | 600-88733 | BCBS-AL |
| 01 (TX) | S0431 | TX MEDICAL LICENSE |
| 01 (GA) | 52606838-001 | BCBSGA |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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