NPI age
19 years
Enumerated 2006-10-02
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | CE9335 | RR GRP |
| 05 (GA) | 003156355A | |
| 01 (IL) | 06132037 | BCBS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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