NPI age
12 years
Enumerated 2013-08-27
Across 1389 active surgery providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 29636 | FLORIDA BOARD OF MEDICINE |
| 01 (SC) | LL37087 | STATE OF SOUTH CAROLINA LIMITED LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →