NPI age
20 years
Enumerated 2006-02-03
Across 268 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 008902960 | |
| 05 (GA) | 000318117B | |
| 01 (GA) | 52244152-005 | BCBSGA |
| 01 (GA) | 52244152-005 | BCBS |
| 01 (AL) | 600-37660 | BCBSAL |
| 01 (AL) | 154485 | MEDICAID-OFFICE |
| 01 (GA) | 000318117G | MEDICAID-OFFICE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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