NPI age
20 years
Enumerated 2005-07-14
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 3416408 | AETNA |
| 05 (GA) | 000580104N | |
| 05 (GA) | 297069 | |
| 05 (GA) | 10034913 | |
| 05 (GA) | 000580104F | |
| 05 (GA) | 00580104F |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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