NPI age
20 years
Enumerated 2006-05-20
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 101160300 | |
| 05 (KY) | 64050875 | |
| 01 (KY) | P00839911 | RAILROAD MEDICARE |
| 01 (FL) | KJ487 | MEDICARE |
| 05 (OH) | 2323186 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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