NPI age
19 years
Enumerated 2006-06-17
Across 39 active surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 349764 | WELLCARE |
| 01 (GA) | 10064458 | AMERIGROUP |
| 05 (SC) | G53906 | |
| 01 (GA) | P00358210 | RR MEDICARE |
| 05 (GA) | 984016809A |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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