NPI age
12 years
Enumerated 2014-04-15
Across 205 active clinic/center providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 189317268A | |
| 05 (GA) | 844538317A | |
| 01 (GA) | 844538317A | MEDICARE PROVIDER ID |
Single-site organization. Only one practice location on file.
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