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) | 040200 | STATE LIECENCE |
| 05 (GA) | 000676629E |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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