NPI age
20 years
Enumerated 2006-01-04
Across 1991 active emergency medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 1710965207 | |
| 01 | CD013225 | BCBS |
| 01 (MI) | 0158208395 | BCBS |
Part of a multi-provider practice. 76 other active providers share this practice address in NPPES.
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