NPI age
8 years
Enumerated 2018-05-04
Across 268 active surgery providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 633601408D | |
| 01 (GA) | 59562 | GEORGIA LICENSE NUMBER |
Multi-site organization. 1 additional practice location on file.
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