NPI age
20 years
Enumerated 2005-06-27
Across 267 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 582348494 | TAX ID OTHER PROVIDERS |
| 05 (GA) | 000478827A |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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