NPI age
17 years
Enumerated 2009-02-09
Across 2726 active pediatrics providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00011822A | |
| 05 (GA) | 741629148A |
Multi-provider organization. 1 individual provider on file at this primary address.
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