NPI age
12 years
Enumerated 2013-06-11
Across 5448 active family medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003161101J | |
| 05 (GA) | 003161101H |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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