NPI age
18 years
Enumerated 2008-04-14
Across 268 active surgery providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 794441598A | |
| 05 (GA) | 794441598B | |
| 05 (GA) | 794441598D | |
| 01 (GA) | P00903608 | MEDICARE RAILROAD |
| 01 (GA) | 4453689 | CIGNA |
| 01 (GA) | 01355160 | AMERIGROUP |
| 01 (GA) | 9102580 | AETNA |
| 01 (GA) | 3186961 | UHC |
| 01 (GA) | 52289700 | BCBS |
| 01 (GA) | 559684 | WELLCARE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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