NPI age
19 years
Enumerated 2006-07-28
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 10409292 | |
| 01 (NC) | 7406921 | AETNA |
| 05 (WV) | 3810008155 | |
| 01 (NC) | 808466 | PARTNERS |
| 05 (SC) | Q0015H | |
| 01 (NC) | 190681 | MEDCOST |
| 05 (NC) | 5905895 | |
| 01 (NC) | 1429K | BLUE CROSS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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