NPI age
19 years
Enumerated 2006-06-29
Across 489 active physical medicine & rehabilitation providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 149725 | |
| 01 (AL) | 51137968 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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