NPI age
18 years
Enumerated 2007-12-11
Across 57 active family medicine providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 08BDPHD | MEDICARE PTAN |
| 01 | GRP4568 | MEDICARE, PTAN |
| 01 (GA) | DG5108 | RAILROAD MEDICARE GRP NUM |
| 05 (GA) | 00330063C |
Multi-provider organization. 1 individual provider on file at this primary address.
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