NPI age
16 years
Enumerated 2010-04-29
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00860219C | |
| 01 (GA) | 580633978009 | ATHENS AREA HEALTH PLAN SELECT |
| 01 (GA) | 10056443 | AMERIGROUP |
| 01 (GA) | 0004103643 | AETNA |
| 01 (GA) | 309143 | WELLCARE |
| 01 (GA) | 582652628 | TRICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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