NPI age
20 years
Enumerated 2005-10-20
Across 489 active physical medicine & rehabilitation providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (DC) | 038481800 | |
| 05 (MD) | 413210600 | |
| 01 (DC) | 5460-0113 | BCBS |
| 05 (GA) | PENDING |
Part of a multi-provider practice. 88 other active providers share this practice address in NPPES.
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