NPI age
19 years
Enumerated 2006-06-12
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 6372095-002 | CIGNA |
| 05 (GA) | 00904307A | |
| 01 (GA) | 821361 | B/C B/S |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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