NPI age
15 years
Enumerated 2010-12-13
Across 1881 active specialist providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00196006A | |
| 01 (GA) | 1720080443 | PHYSICIAN NPI |
Multi-provider organization. 20 individual providers on file at this primary address.
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