NPI age
19 years
Enumerated 2006-11-06
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 101601 | |
| 01 (GA) | 1530248 | UNITED CONCORDIA |
| 05 (GA) | 658232512 | |
| 01 (GA) | 910232 | BCBS |
| 05 (GA) | 9184129 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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