NPI age
8 years
Enumerated 2018-02-28
Across 127 active surgery providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | DZ9723 | RAIROAD MEDICARE PTAN |
| 05 (GA) | 003211917A | |
| 05 (NJ) | 1972708899 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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