NPI age
20 years
Enumerated 2005-10-04
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00405039C | |
| 05 (GA) | 000405039F | |
| 01 (GA) | 080038749 | RAIL ROAD MEDICARE |
| 01 (GA) | 202I071209 | MEDICARE PTAN |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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