NPI age
20 years
Enumerated 2005-06-15
Across 602 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00871164A | |
| 01 (GA) | 158538900 | WORKERSCOMP PROVIDER # |
| 01 (GA) | 490004760 | RAILROAD MCR PROVIDER # |
Single-site organization. Only one practice location on file.
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