NPI age
20 years
Enumerated 2005-06-17
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000429118K | |
| 05 (GA) | 000429118L | |
| 01 (GA) | 160113 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 567752 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 304 other active providers share this practice address in NPPES.
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