NPI age
20 years
Enumerated 2006-05-17
Across 1991 active emergency medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | N288744 | WELLCARE |
| 01 (GA) | 170444001A | PEACH STATE HEALTH PLAN |
| 01 (GA) | 967532 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 10064517 | AMERIGROUP |
| 05 (GA) | 170444001A | |
| 01 (KY) | P00928404 | MEDICARE RAILROAD |
| 05 (KY) | 7100173340 | |
| 05 (SC) | G49710 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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