NPI age
18 years
Enumerated 2007-06-06
Across 1151 active orthopaedic surgery providers in Georgia.
10 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NE) | 24056 | STATE LICENSE NUMBER |
| 05 (GA) | 767725123C | |
| 05 (GA) | 767725123B | |
| 01 (GA) | 064731 | STATE LICENSE NUMBER |
| 05 (GA) | 767725123G | |
| 05 (GA) | 767725123F |
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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