NPI age
16 years
Enumerated 2009-06-01
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 141108 | |
| 01 (AL) | 511-27915 | BCBS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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