NPI age
19 years
Enumerated 2006-10-17
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 218620040D | |
| 05 (AL) | 157676 |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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