NPI age
17 years
Enumerated 2009-02-11
Across 1389 active surgery providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003114073F | |
| 05 (GA) | 003114073L | |
| 01 (GA) | 9738749 | AETNA |
| 01 (GA) | 52515750 | BCBS |
| 05 (GA) | 003114073N | |
| 01 (GA) | 1489990 | COVENTRY |
| 05 (GA) | 003114073H | |
| 05 (GA) | 003114073K | |
| 01 (GA) | 02378992 | AMERIGROUP |
| 05 (GA) | 003114073I | |
| 05 (GA) | 003114073M | |
| 05 (GA) | 003114073G | |
| 01 (GA) | 1022567 | WELLCARE |
| 01 (GA) | 9672923 | CIGNA |
| 05 (GA) | 003114073J |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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