NPI age
20 years
Enumerated 2005-08-29
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 130I227776 | MEDICARE PTAN |
| 01 (NC) | E4403-26290 | MEDCOST |
| 05 (NC) | 5900266 | |
| 01 (TN) | 3721566 | GROUP PTAN |
| 01 (NC) | 046JM | BCBS NC |
Part of a multi-provider practice. 171 other active providers share this practice address in NPPES.
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