NPI age
20 years
Enumerated 2006-01-15
Across 52 active pediatrics providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 37BBFSX | MCARE ID FOR OLD PRACTICE |
| 05 (SC) | G60175 | |
| 01 (GA) | P00610135 | RR MEDICARE |
| 01 (GA) | 582162071-011 | TRICARE AFFILIATION ID |
| 05 (GA) | 000704987G | |
| 01 (GA) | 345562 | WELLCARE |
| 01 (SC) | GPA748 | MCAID GROUP ID |
| 01 (GA) | 000704987E | MCAID ID FOR OLD PRACTICE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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