NPI age
13 years
Enumerated 2013-04-24
Across 2449 active community/behavioral health providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003150154C | |
| 05 (GA) | 003150154A |
Multi-site organization. 1 additional practice location on file.
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