NPI age
17 years
Enumerated 2008-07-07
Across 112 active physical medicine & rehabilitation providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (ND) | 14855 | |
| 01 | 9263478 | DAKOTACARE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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