NPI age
17 years
Enumerated 2008-11-19
Across 450 active otolaryngology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 300034510A | MEDICAID PAYEE: SITE 1 |
| 01 (GA) | 300034510K | MEDICAID PAYEE: SITE 2 |
Single-site organization. Only one practice location on file.
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