NPI age
20 years
Enumerated 2006-04-19
Across 2726 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 4289398 | AETNA CAPITATED |
| 01 | 40468 | GREAT WEST |
| 01 | 55091 | AETNA |
| 01 | 257740 | BLUE CROSS BLUE SHIELD |
| 01 | 691302 | CIGNA HEALTHCARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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