NPI age
19 years
Enumerated 2007-02-26
Across 563 active urology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000391036B | |
| 01 (GA) | 202G701316 | MEDICARE GROUP PTAN |
| 01 (GA) | 102I342359 | MEDICARE PTAN |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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