NPI age
19 years
Enumerated 2006-06-06
Across 13 active ophthalmology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 000792932H | MEDICAID- VIDALIA |
| 05 (GA) | 00792932B | |
| 01 (GA) | 000792932F | MEDICAID - STATESBORO |
| 01 (GA) | 1508805052 | MEDICARE RAILROAD |
| 01 | 782177 | BLUE CROSS BLUE SHIELD |
| 01 (SC) | GPA977 | MEDICAID GRP. SAV |
| 01 (GA) | 00792932G | MEDICAID - SAVANNAH |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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