NPI age
19 years
Enumerated 2006-11-01
Across 1893 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 581456616 | TAX ID |
| 01 (GA) | 333750 | WELLCARE |
| 01 (GA) | 52728648001 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 000824051A | PEACH STATE |
| 05 (GA) | 00824051A |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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