NPI age
19 years
Enumerated 2007-01-24
Across 2449 active community/behavioral health providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 814681000 | |
| 05 (GA) | 000606383R | |
| 05 (GA) | 10061731 |
Multi-provider organization. 1 individual provider on file at this primary address.
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