NPI age
19 years
Enumerated 2006-07-13
Across 267 active obstetrics & gynecology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 060793 | GA LIC # |
| 01 (KY) | 1224988 | CHA |
| 01 (KY) | 000000369572 | ANTHEN BC/BS |
| 05 (GA) | 104792175A | |
| 05 (KY) | 64023674 | |
| 01 (KY) | 7238699 | AETNA HEALTH INS. |
| 01 | 364489332 | TAX I.D. NUMBER FOR RWHC |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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