NPI age
18 years
Enumerated 2007-10-22
Across 5448 active family medicine providers in Georgia.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89066J4 | |
| 01 (GA) | P00153442 | RR MEDICARE |
| 05 (GA) | 643758213A | |
| 01 (GA) | 187001 | BC/BS |
Multi-provider organization. 8 individual providers on file at this primary address.
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