NPI age
13 years
Enumerated 2012-10-30
Across 1389 active surgery providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 338041 | WELLCARE |
| 05 (GA) | 000618241A | |
| 01 (GA) | 10045911 | AMERIGROUP |
| 01 (GA) | 52495099 | BCBS |
Multi-provider organization. 1 individual provider on file at this primary address.
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