NPI age
20 years
Enumerated 2006-04-12
Across 1151 active orthopaedic surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 176883012A | |
| 01 (GA) | P00032539 | RAILROAD MEDICARE |
| 01 (GA) | 002905 | BCBS |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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