NPI age
19 years
Enumerated 2006-09-28
Across 112 active physical medicine & rehabilitation providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 036324401 | |
| 01 (TX) | 89461Y | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.
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