NPI age
19 years
Enumerated 2007-05-04
Across 1991 active emergency medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 001904 | RESIDENCY TRAINING PERMIT |
| 05 (WV) | 3810016159 | |
| 01 (VA) | 114228 | BCBS VA |
| 05 (VA) | 1831301654 |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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