NPI age
19 years
Enumerated 2006-07-09
Across 5448 active family medicine providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2436920 | |
| 01 (MI) | 7476538 | AETNA |
| 01 (MI) | 04366 | PARAMOUNT |
| 01 (MI) | 0805810112 | BLUE CROSS BLUE SHIELD |
| 01 (MI) | 0581011 | BLUE CARE NETWORK |
| 05 (MI) | 4526808 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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