NPI age
20 years
Enumerated 2005-08-16
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4417613 | AETNA PPO NUMBER |
| 01 (GA) | 572632 | BLUE CROSS BLUE SHIELD NO |
| 01 (GA) | 1200048 | UNITED HEALTHCARE NUMBER |
| 05 (GA) | 00249213C |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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