NPI age
20 years
Enumerated 2006-01-11
Across 30 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 193679419A | |
| 05 (PA) | 102409289-0001 | |
| 05 (GA) | 003118339A | |
| 05 (MD) | 4421906 00 |
Solo or small practice. No other active providers share this practice address in NPPES.
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