NPI age
19 years
Enumerated 2006-06-16
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 0003293480 | |
| 01 (GA) | 941025 | BLUE CROSS |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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