NPI age
19 years
Enumerated 2006-10-18
Across 10 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 304878 | WELLCARE |
| 05 (GA) | 729703640A | |
| 01 (GA) | 527031930001 | BC/BS OF GA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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