NPI age
20 years
Enumerated 2006-04-27
Across 56 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 7857762 | AETNA PPO |
| 01 (GA) | 52187671-002 | BC/BS ID |
| 01 (GA) | 1110018 | AETNA HMO ID |
| 05 (GA) | 550243697A |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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