NPI age
17 years
Enumerated 2008-12-17
Across 489 active physical medicine & rehabilitation providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 14015888 | CAQH NUMBER |
Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.
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