NPI age
18 years
Enumerated 2007-08-05
Across 2660 active dentist providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1255281721 | NPI |
| 01 (GA) | 1700077922 | COMMERCIAL PAYERS |
| 01 (GA) | 1144589326 | NPI |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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