NPI age
20 years
Enumerated 2006-01-05
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 184653 | BCBS MO NUMBER |
| 05 (AR) | 148497001 | |
| 01 (MO) | 430741410 | FIRST HEALTH NUMBER |
| 01 (MO) | 636259 | HEALTHLINK NUMBER |
| 01 (MO) | 43074141063801A010 | TRICARE NUMBER |
| 05 (MO) | 209212901 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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