NPI age
17 years
Enumerated 2008-12-17
Across 408 active prosthetic/orthotic supplier providers in Georgia.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 1519158 | |
| 05 (GA) | 502235656A | |
| 05 (GA) | 502235656B | |
| 01 (GA) | 52227848001 | BLUE CROSS BLUE SHIELD OF GEORGIA |
Multi-provider organization. 4 individual providers on file at this primary address.
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