NPI age
20 years
Enumerated 2005-11-16
Across 268 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 1700875 | UNITED HEALTHCARE |
| 01 (AL) | H85594 | VIVA |
| 05 (AL) | 009941562 | |
| 01 (AL) | 51590936 | BLUE CROSS- SHELBY |
| 01 (AL) | P00381059 | RR MEDICARE |
| 01 (AL) | 208500240 | AETNA |
| 01 (AL) | 51540027 | BLUE CROSS-TRINITY |
| 01 (AL) | 1700875 | MEDICARE COMPLETE |
| 01 (AL) | 2081367 | CIGNA |
| 01 (AL) | 51544310 | BLUE CROSS - PRINCETON |
| 01 (AL) | 51539627 | BLUE CROSS- |
| 01 (AL) | 51540026 | BLUE CROSS- ST VINCENTS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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