NPI age
17 years
Enumerated 2009-01-21
Across 5448 active family medicine providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 117518856B |
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Locust Grove Family Medicine.
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