NPI age
19 years
Enumerated 2007-05-10
Across 5448 active family medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 00441955G | GEORGIA MEDICAID |
| 01 (GA) | 116691 | PEACH STATE |
| 05 (GA) | 00441955G | |
| 01 (GA) | 52264408 | BLUE CROSS BLUE SHIEL OF GEORGIA |
Single-site organization. Only one practice location on file.
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