NPI age
20 years
Enumerated 2006-05-15
Across 187 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 610503 | WELLCARE |
| 05 (GA) | 390997330I | |
| 01 (GA) | 01436384 | AMERIGROUP |
| 05 (LA) | 1060356 | |
| 01 (GA) | 52206055 | BCBS |
| 01 (GA) | 5409378 | CIGNA |
Part of a multi-provider practice. 132 other active providers share this practice address in NPPES.
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