NPI age
19 years
Enumerated 2006-11-21
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036117579-1 | |
| 05 (IL) | 036117579 | |
| 01 (IL) | 036117579 | BLUE SHIELD |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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