NPI age
20 years
Enumerated 2006-03-23
Across 52 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 4060600 | AETNA MC PPO PIN |
| 05 (GA) | 000293895D | |
| 01 | 2569966002 | CIGNA |
| 01 | 52025932008 | BLUE CHOICE PROVIDER ID |
| 01 | 1253888 | UNITED HEALTH CARE |
| 01 | 2134607 | AETNA HMO POS |
| 01 | 992 | KAISER |
| 01 | 593252 | BLUE CHOICE FAC |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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