NPI age
19 years
Enumerated 2007-01-20
Across 1024 active hospitalist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200472280A | |
| 05 (KY) | 64059165 | |
| 01 | 1171845 | PASSPORT |
| 01 | P00050427 | RAILROAD MEDICARE |
| 01 | 7499402 | AETNA |
| 01 | 000000300762 | ANTHEM BCBS |
| 01 | 0401851 | UNITED HEALTHCARE |
| 01 | 2440912000 | PASSPORT ADVANTAGE |
| 05 (GA) | 003181958A | |
| 01 | 203411900 | USDOL |
Part of a multi-provider practice. 362 other active providers share this practice address in NPPES.
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