NPI age
20 years
Enumerated 2006-01-25
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1207112 | UNITED HEALTHCARE |
| 05 (GA) | 000317402F | |
| 01 (GA) | 2031829 | AETNA HMO |
| 01 (GA) | 303671 | WELLCARE |
| 05 (GA) | 000317402D | |
| 05 (GA) | 000317402C | |
| 05 (GA) | 000317402E | |
| 01 (GA) | 10032967 | AMERIGROUP |
| 01 (GA) | 303690 | WELLCARE |
| 01 (GA) | 303691 | WELLCARE |
| 01 (GA) | 303693 | WELLCARE |
| 01 (GA) | 52024745 | BCBS |
| 05 (GA) | 000317402B | |
| 01 (GA) | 1605016 | CIGNA |
| 01 (GA) | 4104401 | AETNA PPO |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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