NPI age
2 years
Enumerated 2023-11-28
Across 318 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 04-34103 | MEDICAL DOCTOR |
| 01 (KS) | 1396763421 | NPI |
| 01 (GA) | 1508857038 | MEDICAL DOCTOR |
Single-site organization. Only one practice location on file.
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