NPI age
19 years
Enumerated 2006-06-20
Across 268 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | G47185 | |
| 05 (GA) | 00823567A | |
| 05 (GA) | 000823567R | |
| 05 (GA) | 000823567C |
Part of a multi-provider practice. 71 other active providers share this practice address in NPPES.
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