NPI age
20 years
Enumerated 2005-10-24
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000752166S | |
| 01 (GA) | 202I083605 | CMOMDPC IND MCARE # |
| 01 (GA) | P00708556 | RAILROAD MEDICARE |
| 01 (GA) | 000752166U | CMOMDPC IND MCAID # |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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