NPI age
19 years
Enumerated 2007-01-18
Across 268 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52292901006 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 1633261-009 | CIGNA |
| 01 (GA) | 288074 | WELLCARE CHOICE PLAN |
| 01 (GA) | 4239358 | AETNA |
| 01 (GA) | 770001403 | RAILROAD MEDICARE |
| 05 (GA) | 000509748C | |
| 01 (GA) | 581800973 | UNITED HEALTHCARE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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