NPI age
19 years
Enumerated 2006-07-06
Across 1280 active radiology providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000798971G | |
| 05 (GA) | 000798971K | |
| 01 (GA) | P00332154 | RAILROAD MEDICARE |
| 01 (GA) | 581177261A | MEDICARE GRP PROV # |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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