NPI age
19 years
Enumerated 2007-02-09
Across 1389 active surgery providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | GPA790 | |
| 05 (GA) | 00829551E |
Multi-provider organization. 20 individual providers on file at this primary address.
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