NPI age
20 years
Enumerated 2005-11-03
Across 54 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003147387A | |
| 05 (SC) | GA1644 | |
| 01 (GA) | P01338849 | RAILROAD MEDICARE |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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