NPI age
19 years
Enumerated 2006-06-06
Across 1389 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000749592O | |
| 01 (GA) | 6073153 | CIGNA |
| 01 (GA) | 52596602 | BCBS |
| 05 (GA) | 000749592B |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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