NPI age
20 years
Enumerated 2005-09-13
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52576054 002 | BCBS OF GA PIN |
| 05 (GA) | 000398593E | |
| 01 (GA) | 52576054 002 | GA DEPT. OF COMMUNITY HEA |
| 01 (GA) | 010031078 | RAILROAD MEDICARE PIN |
| 01 (GA) | 900158275 | TRICARE PIN |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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