NPI age
20 years
Enumerated 2006-04-03
Across 483 active pathology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 450161 | BLUE CROSS |
| 05 (GA) | 00531572A | |
| 01 (GA) | 220020959 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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