NPI age
19 years
Enumerated 2006-06-23
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | G31341 | SOUTH CAROLINA MEDICAID |
| 05 (GA) | 000458466B | |
| 01 (GA) | 543066 | BLUE CROSS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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