NPI age
19 years
Enumerated 2006-08-10
Across 1991 active emergency medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000289803J | |
| 05 (GA) | 000289803M | |
| 01 | 930108548 | RAILROAD MEDICARE |
| 05 (SC) | 009923265 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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