NPI age
20 years
Enumerated 2006-05-11
Across 138 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000735193B | |
| 05 (GA) | 000735193C | |
| 05 (GA) | 000735193D |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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