NPI age
18 years
Enumerated 2008-01-28
Across 47 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1710428305 | NPI TYPE II |
| 05 (GA) | 709382690A |
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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