NPI age
19 years
Enumerated 2007-02-14
Across 2449 active community/behavioral health providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10052853 | AMERIGROUP |
| 05 (GA) | 414894283A | |
| 01 (GA) | 833749000 | MAGELLAN |
Single-site organization. Only one practice location on file.
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