NPI age
19 years
Enumerated 2006-11-03
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 02566067 | |
| 01 (NY) | P00882777 | RR MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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