NPI age
16 years
Enumerated 2009-11-19
Across 181 active clinic/center providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003108331A |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Hidden Valley Medical Center Inc.
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