NPI age
19 years
Enumerated 2006-12-13
Across 807 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 4309192 | CIGNA |
| 05 (GA) | 504928015A | |
| 01 (GA) | 18BDGJN | PTAN |
| 01 (GA) | 390605 | BLUE CROSS OF GEORGIA |
| 01 | 7716637 | AETNA |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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