NPI age
20 years
Enumerated 2006-03-28
Across 1151 active orthopaedic surgery providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 17050342085 | |
| 01 (GA) | 202I206610 | MEDICARE PTAN |
| 05 (GA) | 003149135A | |
| 01 (VA) | 17050342085 | MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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