NPI age
20 years
Enumerated 2005-12-02
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00344539A | |
| 01 (GA) | 271249 | BLUE CROSS |
| 01 (GA) | 30117A003 | CHAMPUS |
| 01 (GA) | AETNA | 5417058 |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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