NPI age
20 years
Enumerated 2006-04-17
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 053776 | PHYSICIAN LICENSE |
| 01 (GA) | 10040207 | AMERIGROUP |
| 01 (GA) | 200819 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 774394819B | PEACHSTATE |
| 01 (GA) | P00183443 | RAILROAD |
| 05 (GA) | 774394819C | |
| 05 (GA) | 774394819D | |
| 01 (GA) | 319682 | WELLCARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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