NPI age
19 years
Enumerated 2006-08-23
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 977586582B | |
| 05 (GA) | 977586582C |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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