NPI age
20 years
Enumerated 2006-02-28
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 154876 | MEDICAID-OFFICE |
| 01 (AL) | 601-11881 | BCBS |
| 01 (GA) | 003140760A | MEDICAID-OFFICE |
| 01 (GA) | 52027867-003 | BCBS |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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