NPI age
20 years
Enumerated 2005-11-07
Across 315 active pain medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000853036 | |
| 01 (GA) | 123005200 | US DEPT. OF LABOR W/C |
| 01 (GA) | 469039 | WELLCARE |
| 01 (GA) | 782364 | BLUE CROSS |
| 01 (GA) | P00393494 | RAILROAD MEDICARE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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