NPI age
19 years
Enumerated 2007-05-22
Across 1151 active orthopaedic surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1019101 | |
| 05 (IN) | 200970190 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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