NPI age
18 years
Enumerated 2007-07-24
Across 94 active colon & rectal surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 13682729 | CAQH |
| 05 (PA) | 103093937 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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