NPI age
20 years
Enumerated 2005-08-22
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000755961E | |
| 01 (GA) | 044236 | MEDICAL LISCENSE |
| 01 | 1578555876 | INDIVIDUAL NPI |
| 05 (GA) | 000755961H | |
| 01 | 1138488848 | GROUP NPI |
| 01 (GA) | 582560190 | TAX ID |
| 05 (GA) | 000755961G |
Solo or small practice. No other active providers share this practice address in NPPES.
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