NPI age
15 years
Enumerated 2011-04-01
Across 5 active program of all-inclusive care for the elderly (pace) provider organization providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 958194354A | |
| 05 (GA) | 958194354B |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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