NPI age
10 years
Enumerated 2016-05-03
Across 117 active clinic/center providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 131 101400000Y | SEC |
| 01 (GA) | 91 261QR0405X | SEC |
Multi-provider organization. 2 individual providers on file at this primary address.
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