NPI age
17 years
Enumerated 2008-10-17
Across 35 active emergency medical technician, intermediate providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 10619350 | CAQH |
| 01 | 1467565481 | NATIONAL PROVIDER NUMBER (PERSONAL) |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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