NPI age
20 years
Enumerated 2005-11-10
Across 2726 active pediatrics providers in Georgia.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00618945D | |
| 01 (GA) | 581934 | BCBS |
| 05 (GA) | 00618945E |
Multi-provider organization. 7 individual providers on file at this primary address.
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