NPI age
19 years
Enumerated 2006-11-14
Across 2726 active pediatrics providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003121817G | |
| 05 (GA) | 003121817H |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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