NPI age
20 years
Enumerated 2006-02-06
Across 1389 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00119523G | |
| 05 (GA) | 00119523B | |
| 05 (GA) | 00119523F |
Solo or small practice. No other active providers share this practice address in NPPES.
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