NPI age
20 years
Enumerated 2006-03-14
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 1724199 | CIGNA PROVIDER # |
| 05 (FL) | 276170000 | |
| 01 (FL) | 53238 | BCBS PROVIDER # |
| 01 (FL) | 7453614 | AETNA PROVIDER # |
| 01 (FL) | CE7138 | MEDICARE GROUP |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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