NPI age
19 years
Enumerated 2006-07-19
Across 47 active obstetrics & gynecology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (ME) | 011020 | ANTHEM BLUE SHIELD |
| 05 (ME) | 12702099 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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