NPI age
19 years
Enumerated 2006-09-27
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10054281 | AMERIGROUP GA MEDICAIDCMO |
| 01 (GA) | 52887253004 | BLUE CROSS |
| 05 (GA) | 678066794D | |
| 01 (GA) | 319813 | WELLCARE MEDICAID GA CMO |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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