NPI age
20 years
Enumerated 2006-05-01
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 7372231 | AETNA PPO ID |
| 01 (GA) | 020050127 | RAILROAD MEDICARE |
| 01 (GA) | 52841049-001 | BC/BS ID |
| 05 (GA) | 00906188A | |
| 01 (GA) | 2583204 | AETNA HMO ID |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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