NPI age
19 years
Enumerated 2007-02-13
Across 602 active clinic/center providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 0007849777 | AETNA |
| 01 (GA) | 0007430251 | AETNA PPO |
| 01 (GA) | R566 | AMERIHEALTH |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 3 individual providers on file at this primary address.
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