NPI age
19 years
Enumerated 2006-08-30
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 780001652 | RAILROAD MEDICARE |
| 01 (WA) | MD5703W | ALASKA MEDICAID |
| 05 (WA) | 8169419 | |
| 01 (WA) | 0030021 | LABOR & INDUSTRY |
| 01 (WA) | US0862357 | AETNA/USHC SPECIALIST |
| 01 (WA) | HA0297 | BLUE SHIELD |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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