NPI age
19 years
Enumerated 2006-12-04
Across 187 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 10052477 | |
| 01 (GA) | 52412187 | BLUE CROSS |
| 05 (GA) | 117057 | |
| 05 (GA) | 322063 | |
| 05 (GA) | 000700983D | |
| 05 (GA) | 000700983F | |
| 05 (GA) | 000700983B |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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