NPI age
20 years
Enumerated 2005-06-21
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 591423 | BLUE CROSS BLUE SHIELD GA |
| 01 (GA) | D30300 | COVENTRY |
| 01 (GA) | 580685000 | TRICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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