NPI age
19 years
Enumerated 2006-09-07
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00326906A | |
| 01 | 180038689G | RR MCARE |
| 01 (GA) | 52237056001 | BCBS GA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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