NPI age
15 years
Enumerated 2010-06-03
Across 1893 active obstetrics & gynecology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003146520A | |
| 01 | OPT-OUT | OPT-OUT |
Solo or small practice. No other active providers share this practice address in NPPES.
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