NPI age
20 years
Enumerated 2006-04-25
Across 49 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000508791B | |
| 01 | CL2838 | MEDICARE RAILROAD |
Part of a multi-provider practice. 67 other active providers share this practice address in NPPES.
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