NPI age
19 years
Enumerated 2006-10-25
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | P0061193 | RAILROAD |
| 01 (GA) | 52876062003 | BC/BS |
| 01 (GA) | 325964 | WELLCARE |
| 01 (GA) | 10050810 | AMERIGROUP |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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