NPI age
20 years
Enumerated 2006-05-24
Across 1881 active specialist providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | N357819 | MEDICAID WELLCARE |
| 01 (GA) | CF4854 | RR MEDICARE |
Multi-provider organization. 2 individual providers on file at this primary address.
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