NPI age
19 years
Enumerated 2006-10-23
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00799697A | |
| 01 (GA) | 763351 | CIGNA PROVIDER NUMBER |
| 01 (GA) | 11DO266342 | CLIA LAB PROVIDER NUMBER |
| 01 (GA) | 701742 | BCBS PROVIDER NUMBER |
| 01 (GA) | 0122277 | UNITED HEALTHCARE |
| 01 (GA) | GRP1474 | MEDICARE GROUP NUMBER |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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