NPI age
20 years
Enumerated 2006-04-19
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3834260 | |
| 01 (TN) | 4155063 | BCBS |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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