NPI age
20 years
Enumerated 2006-05-22
Across 184 active non-pharmacy dispensing site providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1154284 | OTHER ID NUMBER |
| 01 | 1154284 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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