NPI age
19 years
Enumerated 2006-07-02
Across 18 active ophthalmology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 0727560 | |
| 05 (OK) | 200197860A | |
| 01 (IA) | 25275 | WELLMARK BCBS |
Part of a multi-provider practice. 50 other active providers share this practice address in NPPES.
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