NPI age
20 years
Enumerated 2006-03-23
Across 52 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 5777647 | AETNA MC PPO PIN |
| 01 | 52684939006 | BLUE CHOICE PROVIDERS IDS |
| 01 | 6163947003 | CIGNA |
| 01 | 849395 | BLUE CHOICE FAC INSURANCE |
| 01 | REF000095774 | MEDICAID REFERENCE PROVID |
| 01 | 1726205 | UNITED HEALTH CARE |
| 05 (GA) | 000754179E | |
| 01 | 2141208 | AETNA HMO POS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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