NPI age
17 years
Enumerated 2008-09-11
Across 1151 active orthopaedic surgery providers in Georgia.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 071328 | LICENSE |
| 05 (GA) | 003144603H | |
| 01 (GA) | MD36497 | LICENSE |
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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