NPI age
17 years
Enumerated 2008-09-08
Across 112 active physical medicine & rehabilitation providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 103I250250 | PTAN |
| 01 (GA) | 12225012 | CAQH |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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