NPI age
19 years
Enumerated 2006-08-14
Across 640 active physician assistant providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52126587 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 582632608 | TRICARE |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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