NPI age
19 years
Enumerated 2007-01-05
Across 730 active clinic/center providers in Georgia.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 513726 | VALUE OPTION |
| 01 (GA) | 52889675 | BLUE CROSS BLUEE SHIEL HM |
| 05 (GA) | 102513 |
Multi-provider organization. 6 individual providers on file at this primary address.
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