NPI age
19 years
Enumerated 2006-12-21
Across 93 active obstetrics & gynecology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000305511AC | |
| 01 (GA) | 4536478 | AETNA PROV NUMBER |
| 05 (GA) | 003118990A | |
| 01 (GA) | 023357 | BCBS PIN NUMBER |
| 01 (GA) | 511L160088 | MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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