NPI age
19 years
Enumerated 2007-01-22
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | SECURE | RAW001 |
| 01 (GA) | WELLCARE | 360483 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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