NPI age
19 years
Enumerated 2006-08-08
Across 563 active urology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | AH01 | ENVOY SITE ID |
| 01 (GA) | 036536 | STATE MEDICAL LICENSE |
| 01 (GA) | 4334942 | AETNA |
| 01 (GA) | P3660719 | OXFORD |
| 01 (GA) | 203543680 | MULTIPLAN |
| 01 (GA) | 203543680 | AULTCARE |
| 01 (GA) | 904115 | BCBS |
| 01 (GA) | 611747900 | US DEPT OF LABOR WC |
| 01 (GA) | P00278109 | RAILROAD MEDICARE |
| 01 (GA) | 203543680 | GHI PPO |
| 01 (GA) | 52550573 | BCBS Q CARE |
| 01 (GA) | 611747900 | WORKERS COMP TX-FED EMPYS |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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