NPI age
19 years
Enumerated 2007-05-05
Across 655 active clinic/center providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 276046116A | |
| 05 (GA) | 838117320A |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-site organization. 1 additional practice location on file.
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