NPI age
19 years
Enumerated 2007-01-03
Across 7225 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 340906 | WELLCARE OF GEORGIA |
| 01 (GA) | 127433 | PEACH STATE HEALTH PLAN |
| 01 (GA) | 10052061 | AMERIGROUP |
| 01 (GA) | PT002308 | PRACTICE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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