NPI age
19 years
Enumerated 2006-08-15
Across 93 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 269446800 | |
| 01 (FL) | 09686 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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