NPI age
19 years
Enumerated 2006-12-18
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 10063432 | AMERIGROUP |
| 05 (GA) | 469298310A |
Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.
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