NPI age
18 years
Enumerated 2007-10-31
Across 196 active clinic/center providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP7206 | MEDICARE GROUP ID |
| 01 (GA) | 297594 | WELLCARE |
| 01 (GA) | P00226966 | RR MEDICARE |
| 01 (FL) | DD4216 | MEDICARE RAILROAD CARRIER |
| 05 (GA) | 000880558C | |
| 01 (GA) | 923658 | BCBS |
Multi-provider organization. 1 individual provider on file at this primary address.
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