NPI age
16 years
Enumerated 2009-06-23
Across 94 active colon & rectal surgery providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 73513 | STATE LICENSE - MD |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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