NPI age
20 years
Enumerated 2006-03-14
Across 52 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 0002010011G | |
| 01 | 52026134007 | BLUE CHOICE PROVIDER IDS |
| 01 | REF000016293 | MEDICAID REFERENCE PROVID |
| 01 | 1000 | KAIER |
| 01 | 2134605 | AETNA HMO POS |
| 01 | 1764658006 | CIGNA |
| 01 | 0052506 | UNITED HEALTH CARE |
| 01 | 134520 | BLUE CHOICE FAC INS |
| 01 | 4060324 | AETNA MC PPO PIN |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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