NPI age
19 years
Enumerated 2006-06-06
Across 661 active general practice providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000111966E | |
| 05 (GA) | 000111966G | |
| 05 (GA) | 000111966D | |
| 05 (GA) | 000111966H |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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