NPI age
19 years
Enumerated 2007-05-17
Across 1881 active specialist providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300035443A | |
| 01 (GA) | 3948 | GROUP NUMBER |
Multi-provider organization. 2 individual providers on file at this primary address.
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