NPI age
4 years
Enumerated 2022-01-21
Across 399 active specialist/technologist, other providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 137551 | NBSTSA |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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