NPI age
20 years
Enumerated 2006-02-17
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000698959 | |
| 01 (GA) | 04BDBPV | MEDICARE PTAN |
| 05 (AL) | 114086 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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