NPI age
20 years
Enumerated 2005-08-30
Across 539 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | ZG2323 | |
| 05 (GA) | 000901359B | |
| 01 (GA) | 800722 | UNITED CONCORDIA I.D. # |
| 05 (GA) | 000901359A |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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