NPI age
6 years
Enumerated 2019-06-07
Across 2449 active community/behavioral health providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003216332B | |
| 05 (GA) | 003216332A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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