NPI age
19 years
Enumerated 2006-05-31
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 720484389A | |
| 05 (WI) | 34342600 | |
| 05 (GA) | 720484389 | |
| 01 | P00972282 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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