NPI age
19 years
Enumerated 2006-06-27
Across 100 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 070747455D | |
| 01 (GA) | 10065462 | AMERIGROUP |
| 01 (GA) | 349774 | WELLCARE |
| 05 (GA) | 070747455C | |
| 05 (GA) | 070747455A | |
| 05 (GA) | 070747455B | |
| 05 (SC) | G54882 |
Solo or small practice. No other active providers share this practice address in NPPES.
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