NPI age
19 years
Enumerated 2006-11-03
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 117463 | PSHP |
| 05 (GA) | 000292025A | |
| 01 (GA) | 1730268459 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | N355136 | WELLCARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →