NPI age
19 years
Enumerated 2006-06-03
Across 220 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 577795376F | |
| 05 (GA) | 577795376H | |
| 01 (GA) | 92BBGBW | MEDICARE PROVIDER ID |
| 05 (GA) | 577795376G | |
| 05 (GA) | 577795376I | |
| 05 (GA) | 577795376K | |
| 05 (GA) | 577795376J |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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