NPI age
20 years
Enumerated 2005-10-24
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 185263247A | |
| 01 (GA) | 10033141 | AMERIGROUP |
| 01 (GA) | 1518957372 | BC/BS GEORGIA |
| 01 (GA) | 314126 | WELLCARE |
| 01 (GA) | P00172081 | RAILROAD MEDICARE |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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