NPI age
18 years
Enumerated 2007-12-13
Across 5448 active family medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000743432N | |
| 05 (GA) | 000743432M | |
| 05 (GA) | 000743432L | |
| 01 (GA) | GRP6965 | MEDICARE GRP PROVIDER # |
Multi-provider organization. 1 individual provider on file at this primary address.
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