NPI age
19 years
Enumerated 2006-10-06
Across 56 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 3168468 | CIGNA |
| 01 (GA) | 52887655-003 | BCBS GA |
| 01 (GA) | 10065438 | AMERIGROUP |
| 01 (GA) | 52887655-001 | BCBS GA |
| 05 (GA) | 845943235D | |
| 05 (GA) | 845943235E | |
| 05 (GA) | 845943235G | |
| 05 (SC) | G52936 | |
| 01 (GA) | P00247251 | RR MEDICARE |
| 01 (GA) | P00995512 | RAILROAD MEDICARE |
| 01 (GA) | P00679482 | RR MEDICARE |
| 01 | 01366154 | AMERIGROUP |
| 05 (GA) | 845943235C | |
| 01 (GA) | 349770 | WELLCARE |
| 05 (GA) | 845943235A | |
| 01 (GA) | 52887655-002 | BCBS GA |
| 05 (GA) | 845943235B | |
| 05 (GA) | 845943235F | |
| 05 (GA) | 845943235H | |
| 01 (SC) | P00432676 | RR MEDICARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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