NPI age
19 years
Enumerated 2006-09-20
Across 1893 active obstetrics & gynecology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MA) | 131271 | HARVARD PILGRIM |
| 01 (MA) | J22792 | BLUE CROSS & BLUE SHIELD |
| 05 (MA) | 0123731 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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