NPI age
19 years
Enumerated 2006-10-25
Across 1280 active radiology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 0A1005790 | BLUE SHIELD |
| 05 (CA) | 0A1005790 |
Part of a multi-provider practice. 76 other active providers share this practice address in NPPES.
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