NPI age
20 years
Enumerated 2006-02-18
Across 4309 active dentist providers in Georgia.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 539121 | AVESIS |
| 05 (SC) | ZAG977 | |
| 01 (GA) | 1888552 | UNITED CONCORDIA |
| 05 (GA) | 401680528A |
Multi-provider organization. 8 individual providers on file at this primary address.
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