NPI age
20 years
Enumerated 2006-04-10
Across 4616 active physician assistant providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 100001691B | PEACH STATE HEALTH PLAN |
| 01 (GA) | 800791 | BLUE SHIELD |
| 01 (GA) | 336104 | WELLCARE |
| 05 (GA) | 100001691B |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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