NPI age
20 years
Enumerated 2006-01-25
Across 2726 active pediatrics providers in Georgia.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000828869A | |
| 01 (GA) | 10032962 | AMERIGROUP |
| 01 (GA) | 303927 | WELLCARE |
| 01 (GA) | 303928 | WELLCARE |
| 05 (GA) | 000828869D | |
| 01 (GA) | 303914 | WELLCARE |
| 01 (GA) | 4487796 | CIGNA |
| 01 (GA) | 52598912 | BCBS |
| 01 (GA) | 7829067 | AETNA |
| 05 (GA) | 000828869C | |
| 05 (GA) | 000828869B | |
| 01 (GA) | 303926 | WELLCARE |
| 01 (GA) | 1200344 | UHC |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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