NPI age
19 years
Enumerated 2006-12-14
Across 268 active surgery providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00053633A | |
| 01 (GA) | 578663 | AETNA |
| 01 (GA) | 1013082387 | NPI |
| 01 (GA) | 17-05841 | HEALTH FIRST |
| 01 (GA) | 253729461 | CHAMPUS |
| 01 (GA) | 020044829 | MEDICARE RAILROAD |
| 01 (GA) | 212200 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | GRP1615 | MEDICARE |
Multi-provider organization. 20 individual providers on file at this primary address.
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