NPI age
18 years
Enumerated 2008-02-05
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000024527A | |
| 01 (GA) | 1659384816 | BLUE CROSS/BLUE SHIELD |
Single-site organization. Only one practice location on file.
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