NPI age
19 years
Enumerated 2006-06-26
Across 343 active public health or welfare providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00052082L | |
| 05 (GA) | 00058726N | |
| 05 (GA) | 00457729U |
Single-site organization. Only one practice location on file.
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