NPI age
12 years
Enumerated 2014-04-14
Across 196 active clinic/center providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 29BDCBJ | MEDICARE PTAN |
| 05 (GA) | 000744906C |
Multi-provider organization. 1 individual provider on file at this primary address.
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