NPI age
20 years
Enumerated 2006-04-20
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000405127A | |
| 01 (GA) | 032246 | GEORGIA MEDICAL LICENSING BOARD |
| 01 (GA) | 11399 | FIRST HEALTH COVENTRY |
| 01 (GA) | 133861084444 | HUMANA |
| 01 (GA) | PR27874000001 | CIGNA |
| 05 (GA) | 000405127E |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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