NPI age
18 years
Enumerated 2008-04-09
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 1619140761 | N/A |
| 01 (VA) | 1619140761 | N/A |
| 01 (SC) | 1619140761 | N/A |
| 01 (AZ) | 1619140761 | N/A |
| 01 (OK) | 1619140761 | N/A |
| 01 (NM) | 1619140761 | N/A |
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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